GS 110-91 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 33 Completed Date: 11/19/2025 Age: From 1 To 4 Total Minutes: 235 Time In: 09:20 AM Time Out: 01:15 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 this program for compliance with applicable child care requirements during a routine unannounced visit. This center currently operates with a five-star license, earning seven points in education standards, sevens in program standards and 1 quality point for as reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last sanitation inspection was completed on October 7, 2025, earning a “Superior” classification. The last fire inspection was completed on October 2, 2025, and the center was approved for daytime care only. The last annual compliance visit was completed on April 2, 2025. A Harry, Administrator, was present and assisted with the visit. Thirty-three (33) children ranging from ages one (1) to four (4) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, completing hand washing, and toileting routines, and interacting with teacher. The following violations were documented. The following requirements were monitored during today's visit: Staff/Child Ratio, Supervision, Specialized trainings, Storage of Hazardous Products, Storage of Medication, Adequate/Approved Space, General Safety, Staff Records, Program Records, and License Posted and Permit Restrictions. I used a checklist as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to your program. A computer generated visit summary was reviewed and left with you at the conclusion of the visit. The following violations of childcare requirements were documented today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Spaces #109 and #111, appropriate to the children in care. The last posted activity plan was dated 10/10/2025. GS 110-91(12); .0508(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid Training was not on file for review for S. Goldsby. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR Training was not on file for review for S. Goldsby. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for review for S. Goldsby. .1102(g) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all childcare facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your facility. 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. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is accurate documentation. If any information provided in the letter is not accurate, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov COMPLIANCE HISTORY Prior to today's visit, this facility has maintained an 18-month compliance score of 90%. TECHNICAL ASSISTANCE/ CONSULTATION STAFF RECORD KEEPING CPR and First Aid Training and Recognizing and Responding to Suspicions of Child Maltreatment training were not on file for review for S. Goldsby. GENERAL CAREGIVING ACTIVITIES A current activity plan was not posted in Spaces #109 and #111, appropriate to the children in care. The last posted activity plan was dated 10/10/2025. QRIS/STAR RATED LICENSE We discussed the different pathway options for the new QRIS system. You decided to complete Pathway 2-Classroom and Instructional Quality. We completed an in-depth review of the forms specific to Pathway 2, and you were given the opportunity to ask questions. RESOURCES The Division of Child Development and Early Education's (DCDEE) website is https://ncchildcare.ncdhhs.gov/. Visit this website for the most up-to-date childcare forms, resources related to childcare, and new childcare rules/laws. RECALLED ITEMS You can visit the U.S. Consumer Product Safety Commission website at www.cpsc.gov for more information on recently recalled items. CONTACTS • Hertford-Northampton Smart Start Partnership for Children at 711 East Vance Street, Murfreesboro, NC 27855, 252-398 -4124, northamptonsmartstart.org. • I encourage you to contact Alicia Tanner, North Carolina Child Care Health and Safety Resource Center, (919) 964-0125, altanner@unc.edu, if additional assistance regarding applicable health and safety practices as is needed. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor, at 252-373-9809. 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: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: MARQUITTA HOLLOMAN Operation Type: Center Case Number: Visit Date: 11/19/2025 Number Present: 33 Completed Date: 11/19/2025 Age: From 1 To 4 Total Minutes: 235 Time In: 09:20 AM Time Out: 01:15 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 this program for compliance with applicable child care requirements during a routine unannounced visit. This center currently operates with a five-star license, earning seven points in education standards, sevens in program standards and 1 quality point for as reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last sanitation inspection was completed on October 7, 2025, earning a “Superior” classification. The last fire inspection was completed on October 2, 2025, and the center was approved for daytime care only. The last annual compliance visit was completed on April 2, 2025. A Harry, Administrator, was present and assisted with the visit. Thirty-three (33) children ranging from ages one (1) to four (4) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, completing hand washing, and toileting routines, and interacting with teacher. The following violations were documented. The following requirements were monitored during today's visit: Staff/Child Ratio, Supervision, Specialized trainings, Storage of Hazardous Products, Storage of Medication, Adequate/Approved Space, General Safety, Staff Records, Program Records, and License Posted and Permit Restrictions. I used a checklist as a basic monitoring tool to assess compliance with all applicable childcare requirements pertinent to your program. A computer generated visit summary was reviewed and left with you at the conclusion of the visit. The following violations of childcare requirements were documented today. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Spaces #109 and #111, appropriate to the children in care. The last posted activity plan was dated 10/10/2025. GS 110-91(12); .0508(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. First Aid Training was not on file for review for S. Goldsby. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. CPR Training was not on file for review for S. Goldsby. .1102(d) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Recognizing and Responding to Suspicions of Child Maltreatment training was not on file for review for S. Goldsby. .1102(g) Child Care Licensing Requirements are established to ensure a safe, healthy, and developmentally appropriate environment for all childcare facilities. Therefore, it is important for you to be knowledgeable of all licensing requirements that apply for your facility. 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. It is your responsibility to maintain compliance with the applicable laws and rules; always whether they have been monitored or specifically discussed with you in the past. The best way for you to ensure that you are meeting all requirements is to periodically review the childcare laws and rules on the Division of Child Development and Early Education (DCDEE) website. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. On or before December 3, 2025, I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is accurate documentation. If any information provided in the letter is not accurate, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Mail or email the information to: Marquitta Holloman, Child Care Consultant PO Box 644 Murfreesboro, NC 27855 marquitta.holloman@dhhs.nc.gov COMPLIANCE HISTORY Prior to today's visit, this facility has maintained an 18-month compliance score of 90%. TECHNICAL ASSISTANCE/ CONSULTATION STAFF RECORD KEEPING CPR and First Aid Training and Recognizing and Responding to Suspicions of Child Maltreatment training were not on file for review for S. Goldsby. GENERAL CAREGIVING ACTIVITIES A current activity plan was not posted in Spaces #109 and #111, appropriate to the children in care. The last posted activity plan was dated 10/10/2025. QRIS/STAR RATED LICENSE We discussed the different pathway options for the new QRIS system. You decided to complete Pathway 2-Classroom and Instructional Quality. We completed an in-depth review of the forms specific to Pathway 2, and you were given the opportunity to ask questions. RESOURCES The Division of Child Development and Early Education's (DCDEE) website is https://ncchildcare.ncdhhs.gov/. Visit this website for the most up-to-date childcare forms, resources related to childcare, and new childcare rules/laws. RECALLED ITEMS You can visit the U.S. Consumer Product Safety Commission website at www.cpsc.gov for more information on recently recalled items. CONTACTS • Hertford-Northampton Smart Start Partnership for Children at 711 East Vance Street, Murfreesboro, NC 27855, 252-398 -4124, northamptonsmartstart.org. • I encourage you to contact Alicia Tanner, North Carolina Child Care Health and Safety Resource Center, (919) 964-0125, altanner@unc.edu, if additional assistance regarding applicable health and safety practices as is needed. If you have questions related to this visit or if I can be of additional assistance, I can be reached at 252-370-0207 or marquitta.holloman@dhhs.nc.gov. You may also contact Susan Fuller, Licensing Supervisor, at 252-373-9809. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 53 Completed Date: 4/2/2025 Age: From 2 To 5 Total Minutes: 270 Time In: 08:50 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. A. Harry, Administrator, was present and assisted with the visit. This center currently operates with a five-star license, earning seven points in education standards, sevens in program standards and 1 quality point for as reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was completed on April 11, 2024. The last sanitation inspection was completed on October 7, 2024, earning a “Superior” classification. The last fire inspection was completed on October 158, 2024, and the center was approved for daytime care only. Fifty-three (53) children ranging from ages two (2) to five (5) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, outdoor play, eating breakfast and lunch, completing hand washing, and toileting routines, and interacting with teacher. Breakfast consisted of bagels with cream cheese, pears, and milk. Lunch consisted of turkey sandwiches with cheese, beets, oranges and milk. The following violations were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #111. The activity posted was dated March 24-28, 2025. An activity plan was not posted in Space #109. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. Tubes of toothpaste labeled keep out of reach of children was in on a shelf below 5ft. from the floor in Space 111 and in an unlocked drawer accessible to children in Space #119. The top on a storage container was cracked exposing sharp edges on the toddler playground. 10A NCAC 09 .0601(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check renewal process was not completed and valid qualification letter received prior to the expiration date of the previous letter on file for two staff members. G.S. 110-90.2(b) & .2703(n)&(o) 1123 All vehicles used to transport children were not free of hazards. A seat on bus #117 was torn exposing the upholstery to children. 10A NCAC 09 .1002(a) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage was not posted regarding the smoking and tobacco restriction on two buses used to transport children. .0604(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before April 16, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 87% as of April 1, 2025. CORPORATION STATUS: Choanoke Area Development Association of North Carolina, Incorporated is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Choanoke Area Development Association of North Carolina, Incorporated remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. CORPORATE CONTACT CHANGE: You stated the individual listed as corporate contact is no longer with the agency. To change this information in the system, you will need to complete a new application. I will be sending an electronic application packet to you shortly. Once you have completed it, return the application to me via email or postal mail at your earliest convenience. I reminded you that the application must be signed by the individual authorized to make decision on behalf of the organization. Please ensure all the information is accurate and matches the license. If you need assistance or have questions regarding the completion of the application, contact me to further discuss. CRIMINAL BACKGROUND CHECKS: Two staff members did not complete the criminal background check process and received their qualification letters on or before the expiration date documented on their previous letter. As a reminder, background checks are valid for three years, and the renewal process should be completed in a timely manner to ensure qualification letters are received before the current expiration date. The criminal background check process can be initiated six months before the expiration. To help manage this, I suggest developing a system to track expiration dates, allowing you to notify staff when it’s time to begin the renewal process. SAFE INDOOR/OUTDOOR ENVIRONMENT: Toothpaste with the warning label keep out of reach of children was in spaces accessible to children. I informed you the toothpaste should be stored 5ft. above the finished floor to remove access to children. I shared that children are curious and will try to explore their environment. Staff should be encouraged to store the toothpaste in a designated area that is 5ft. above the finished floor when not used. Signs can be posted as an awareness to ensure potential hazardous products are stored appropriately. I suggest posting the storage of hazardous products in child care signs in each classroom for staff to reference. Reading labels will also help determine how potentially hazardous products should be stored. TRANSPORTATION REQUIREMENTS: Two school buses used to transport children were onsite and monitored today. One of the seats on bus #117 was torn exposing the upholstery and making it accessible to children. I advised you not to allow children to utilize that seat until the covering could be repaired. Staff should also supervise children closely to ensure they do not pull the cushion out and put it in their mouths, nose or utilize it in a way that could be dangerous to them. I also advised you to add signage regarding the smoking and tobacco restriction in both vehicles. You stated this would be done immediately. ABCMS PORTAL: You stated you had not completed the webinar to gain access to the Automated Criminal Background Management System (ABCMS) and were not sure if anyone in the agency had been designated to do so. I advised you to share the information with your administrative team to determine how the process could be done for your agency. Once a decision has been made the designated individual should complete the webinar and follow instructions for gaining access to the system. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, a hand-written visit summary report was completed, reviewed, and left with you. I explained the computer-generated visit summary report would be emailed to you within two business days. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .1002 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 53 Completed Date: 4/2/2025 Age: From 2 To 5 Total Minutes: 270 Time In: 08:50 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. A. Harry, Administrator, was present and assisted with the visit. This center currently operates with a five-star license, earning seven points in education standards, sevens in program standards and 1 quality point for as reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was completed on April 11, 2024. The last sanitation inspection was completed on October 7, 2024, earning a “Superior” classification. The last fire inspection was completed on October 158, 2024, and the center was approved for daytime care only. Fifty-three (53) children ranging from ages two (2) to five (5) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, outdoor play, eating breakfast and lunch, completing hand washing, and toileting routines, and interacting with teacher. Breakfast consisted of bagels with cream cheese, pears, and milk. Lunch consisted of turkey sandwiches with cheese, beets, oranges and milk. The following violations were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #111. The activity posted was dated March 24-28, 2025. An activity plan was not posted in Space #109. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. Tubes of toothpaste labeled keep out of reach of children was in on a shelf below 5ft. from the floor in Space 111 and in an unlocked drawer accessible to children in Space #119. The top on a storage container was cracked exposing sharp edges on the toddler playground. 10A NCAC 09 .0601(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check renewal process was not completed and valid qualification letter received prior to the expiration date of the previous letter on file for two staff members. G.S. 110-90.2(b) & .2703(n)&(o) 1123 All vehicles used to transport children were not free of hazards. A seat on bus #117 was torn exposing the upholstery to children. 10A NCAC 09 .1002(a) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage was not posted regarding the smoking and tobacco restriction on two buses used to transport children. .0604(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before April 16, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 87% as of April 1, 2025. CORPORATION STATUS: Choanoke Area Development Association of North Carolina, Incorporated is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Choanoke Area Development Association of North Carolina, Incorporated remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. CORPORATE CONTACT CHANGE: You stated the individual listed as corporate contact is no longer with the agency. To change this information in the system, you will need to complete a new application. I will be sending an electronic application packet to you shortly. Once you have completed it, return the application to me via email or postal mail at your earliest convenience. I reminded you that the application must be signed by the individual authorized to make decision on behalf of the organization. Please ensure all the information is accurate and matches the license. If you need assistance or have questions regarding the completion of the application, contact me to further discuss. CRIMINAL BACKGROUND CHECKS: Two staff members did not complete the criminal background check process and received their qualification letters on or before the expiration date documented on their previous letter. As a reminder, background checks are valid for three years, and the renewal process should be completed in a timely manner to ensure qualification letters are received before the current expiration date. The criminal background check process can be initiated six months before the expiration. To help manage this, I suggest developing a system to track expiration dates, allowing you to notify staff when it’s time to begin the renewal process. SAFE INDOOR/OUTDOOR ENVIRONMENT: Toothpaste with the warning label keep out of reach of children was in spaces accessible to children. I informed you the toothpaste should be stored 5ft. above the finished floor to remove access to children. I shared that children are curious and will try to explore their environment. Staff should be encouraged to store the toothpaste in a designated area that is 5ft. above the finished floor when not used. Signs can be posted as an awareness to ensure potential hazardous products are stored appropriately. I suggest posting the storage of hazardous products in child care signs in each classroom for staff to reference. Reading labels will also help determine how potentially hazardous products should be stored. TRANSPORTATION REQUIREMENTS: Two school buses used to transport children were onsite and monitored today. One of the seats on bus #117 was torn exposing the upholstery and making it accessible to children. I advised you not to allow children to utilize that seat until the covering could be repaired. Staff should also supervise children closely to ensure they do not pull the cushion out and put it in their mouths, nose or utilize it in a way that could be dangerous to them. I also advised you to add signage regarding the smoking and tobacco restriction in both vehicles. You stated this would be done immediately. ABCMS PORTAL: You stated you had not completed the webinar to gain access to the Automated Criminal Background Management System (ABCMS) and were not sure if anyone in the agency had been designated to do so. I advised you to share the information with your administrative team to determine how the process could be done for your agency. Once a decision has been made the designated individual should complete the webinar and follow instructions for gaining access to the system. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, a hand-written visit summary report was completed, reviewed, and left with you. I explained the computer-generated visit summary report would be emailed to you within two business days. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 53 Completed Date: 4/2/2025 Age: From 2 To 5 Total Minutes: 270 Time In: 08:50 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. A. Harry, Administrator, was present and assisted with the visit. This center currently operates with a five-star license, earning seven points in education standards, sevens in program standards and 1 quality point for as reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was completed on April 11, 2024. The last sanitation inspection was completed on October 7, 2024, earning a “Superior” classification. The last fire inspection was completed on October 158, 2024, and the center was approved for daytime care only. Fifty-three (53) children ranging from ages two (2) to five (5) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, outdoor play, eating breakfast and lunch, completing hand washing, and toileting routines, and interacting with teacher. Breakfast consisted of bagels with cream cheese, pears, and milk. Lunch consisted of turkey sandwiches with cheese, beets, oranges and milk. The following violations were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #111. The activity posted was dated March 24-28, 2025. An activity plan was not posted in Space #109. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. Tubes of toothpaste labeled keep out of reach of children was in on a shelf below 5ft. from the floor in Space 111 and in an unlocked drawer accessible to children in Space #119. The top on a storage container was cracked exposing sharp edges on the toddler playground. 10A NCAC 09 .0601(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check renewal process was not completed and valid qualification letter received prior to the expiration date of the previous letter on file for two staff members. G.S. 110-90.2(b) & .2703(n)&(o) 1123 All vehicles used to transport children were not free of hazards. A seat on bus #117 was torn exposing the upholstery to children. 10A NCAC 09 .1002(a) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage was not posted regarding the smoking and tobacco restriction on two buses used to transport children. .0604(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before April 16, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 87% as of April 1, 2025. CORPORATION STATUS: Choanoke Area Development Association of North Carolina, Incorporated is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Choanoke Area Development Association of North Carolina, Incorporated remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. CORPORATE CONTACT CHANGE: You stated the individual listed as corporate contact is no longer with the agency. To change this information in the system, you will need to complete a new application. I will be sending an electronic application packet to you shortly. Once you have completed it, return the application to me via email or postal mail at your earliest convenience. I reminded you that the application must be signed by the individual authorized to make decision on behalf of the organization. Please ensure all the information is accurate and matches the license. If you need assistance or have questions regarding the completion of the application, contact me to further discuss. CRIMINAL BACKGROUND CHECKS: Two staff members did not complete the criminal background check process and received their qualification letters on or before the expiration date documented on their previous letter. As a reminder, background checks are valid for three years, and the renewal process should be completed in a timely manner to ensure qualification letters are received before the current expiration date. The criminal background check process can be initiated six months before the expiration. To help manage this, I suggest developing a system to track expiration dates, allowing you to notify staff when it’s time to begin the renewal process. SAFE INDOOR/OUTDOOR ENVIRONMENT: Toothpaste with the warning label keep out of reach of children was in spaces accessible to children. I informed you the toothpaste should be stored 5ft. above the finished floor to remove access to children. I shared that children are curious and will try to explore their environment. Staff should be encouraged to store the toothpaste in a designated area that is 5ft. above the finished floor when not used. Signs can be posted as an awareness to ensure potential hazardous products are stored appropriately. I suggest posting the storage of hazardous products in child care signs in each classroom for staff to reference. Reading labels will also help determine how potentially hazardous products should be stored. TRANSPORTATION REQUIREMENTS: Two school buses used to transport children were onsite and monitored today. One of the seats on bus #117 was torn exposing the upholstery and making it accessible to children. I advised you not to allow children to utilize that seat until the covering could be repaired. Staff should also supervise children closely to ensure they do not pull the cushion out and put it in their mouths, nose or utilize it in a way that could be dangerous to them. I also advised you to add signage regarding the smoking and tobacco restriction in both vehicles. You stated this would be done immediately. ABCMS PORTAL: You stated you had not completed the webinar to gain access to the Automated Criminal Background Management System (ABCMS) and were not sure if anyone in the agency had been designated to do so. I advised you to share the information with your administrative team to determine how the process could be done for your agency. Once a decision has been made the designated individual should complete the webinar and follow instructions for gaining access to the system. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, a hand-written visit summary report was completed, reviewed, and left with you. I explained the computer-generated visit summary report would be emailed to you within two business days. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 4/2/2025 Number Present: 53 Completed Date: 4/2/2025 Age: From 2 To 5 Total Minutes: 270 Time In: 08:50 AM Time Out: 01:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements during an annual compliance visit. A. Harry, Administrator, was present and assisted with the visit. This center currently operates with a five-star license, earning seven points in education standards, sevens in program standards and 1 quality point for as reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was completed on April 11, 2024. The last sanitation inspection was completed on October 7, 2024, earning a “Superior” classification. The last fire inspection was completed on October 158, 2024, and the center was approved for daytime care only. Fifty-three (53) children ranging from ages two (2) to five (5) years old were observed in care today. Children were engaged in morning routine/activities, free-choice play, outdoor play, eating breakfast and lunch, completing hand washing, and toileting routines, and interacting with teacher. Breakfast consisted of bagels with cream cheese, pears, and milk. Lunch consisted of turkey sandwiches with cheese, beets, oranges and milk. The following violations were documented. Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #111. The activity posted was dated March 24-28, 2025. An activity plan was not posted in Space #109. GS 110-91(12); .0508(a) 807 A safe indoor and outdoor environment was not provided for the children. Tubes of toothpaste labeled keep out of reach of children was in on a shelf below 5ft. from the floor in Space 111 and in an unlocked drawer accessible to children in Space #119. The top on a storage container was cracked exposing sharp edges on the toddler playground. 10A NCAC 09 .0601(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The criminal background check renewal process was not completed and valid qualification letter received prior to the expiration date of the previous letter on file for two staff members. G.S. 110-90.2(b) & .2703(n)&(o) 1123 All vehicles used to transport children were not free of hazards. A seat on bus #117 was torn exposing the upholstery to children. 10A NCAC 09 .1002(a) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. Signage was not posted regarding the smoking and tobacco restriction on two buses used to transport children. .0604(i) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before April 16, 2025. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, Administrative Action, including Revocation of the facility's Star Rated License, could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 87% as of April 1, 2025. CORPORATION STATUS: Choanoke Area Development Association of North Carolina, Incorporated is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Choanoke Area Development Association of North Carolina, Incorporated remains current and active. Prior to making any changes in the ownership status contact me to discuss the change of ownership procedures. Failure to comply could impact the program license status. CORPORATE CONTACT CHANGE: You stated the individual listed as corporate contact is no longer with the agency. To change this information in the system, you will need to complete a new application. I will be sending an electronic application packet to you shortly. Once you have completed it, return the application to me via email or postal mail at your earliest convenience. I reminded you that the application must be signed by the individual authorized to make decision on behalf of the organization. Please ensure all the information is accurate and matches the license. If you need assistance or have questions regarding the completion of the application, contact me to further discuss. CRIMINAL BACKGROUND CHECKS: Two staff members did not complete the criminal background check process and received their qualification letters on or before the expiration date documented on their previous letter. As a reminder, background checks are valid for three years, and the renewal process should be completed in a timely manner to ensure qualification letters are received before the current expiration date. The criminal background check process can be initiated six months before the expiration. To help manage this, I suggest developing a system to track expiration dates, allowing you to notify staff when it’s time to begin the renewal process. SAFE INDOOR/OUTDOOR ENVIRONMENT: Toothpaste with the warning label keep out of reach of children was in spaces accessible to children. I informed you the toothpaste should be stored 5ft. above the finished floor to remove access to children. I shared that children are curious and will try to explore their environment. Staff should be encouraged to store the toothpaste in a designated area that is 5ft. above the finished floor when not used. Signs can be posted as an awareness to ensure potential hazardous products are stored appropriately. I suggest posting the storage of hazardous products in child care signs in each classroom for staff to reference. Reading labels will also help determine how potentially hazardous products should be stored. TRANSPORTATION REQUIREMENTS: Two school buses used to transport children were onsite and monitored today. One of the seats on bus #117 was torn exposing the upholstery and making it accessible to children. I advised you not to allow children to utilize that seat until the covering could be repaired. Staff should also supervise children closely to ensure they do not pull the cushion out and put it in their mouths, nose or utilize it in a way that could be dangerous to them. I also advised you to add signage regarding the smoking and tobacco restriction in both vehicles. You stated this would be done immediately. ABCMS PORTAL: You stated you had not completed the webinar to gain access to the Automated Criminal Background Management System (ABCMS) and were not sure if anyone in the agency had been designated to do so. I advised you to share the information with your administrative team to determine how the process could be done for your agency. Once a decision has been made the designated individual should complete the webinar and follow instructions for gaining access to the system. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. At the conclusion of this visit, a hand-written visit summary report was completed, reviewed, and left with you. I explained the computer-generated visit summary report would be emailed to you within two business days. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/11/2024 Number Present: 96 Completed Date: 10/11/2024 Age: From 1 To 5 Total Minutes: 160 Time In: 08:20 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival G. Faison, Floater assisted with the visit. You arrived shortly after and assisted. Fifty-four(54) children were observed in care today ranging from one to five years old. Children were engaged morning activities, free choice play with developmentally age-appropriate materials, interacting with the teachers, eating breakfast and lunch, and completing toileting, and hand washing routines and napping. Breakfast consisted of pancakes with syrup, tropical fruits, and milk. Lunch consisted of tomato soup, grilled cheese sandwiches, strawberries, and milk. One child had a ham sandwich. Currently this program operates with a Five-star license. The last sanitation inspection was completed on October 7, 2024, earning a superior classification. The last fire inspection was completed on October 8, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on April 11, 2024. The following violations were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for several children from October 2, 2024, to October 10, 2024. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. An active ant bed in space accessible to children was observed near the shed near the storage building and paint was peeling from the wheel at the back left side of the preschool playground. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation was not o file verifying outdoor play inspections were completed for May 2024 and June 2024. .0605(q) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 25, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. CORPORATION STATUS: Choanoke Area Development Association of North Carolina, Incorporated is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Choanoke Area Development Association of North Carolina, Incorporated remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 84% percent as of October 10, 2024. STAFF/CHILD INTERACTIONS: During my observation, children in were observed completing art activities, engaged in table play with manipulatives, participating in free-choice play, completing routines for hand washing and toileting with the guidance of teachers. Teachers and children sang along with fingerplays as the transitioned from their classes to the cafeteria for lunch. I also observed children participate in bus evacuation drills and discuss fire safety. A variety of age-appropriate materials and toys were available and used for play. Staff interacted with children in a positive nurturing manner. PROGRAM ADMINISTRATOR: You stated an administrator was not assigned to this program. It was reported a different person from the main office comes to manage the center each day. I informed you an administrator had to be assigned for this program today. You stated information had been emailed to me listing you (Ayesha Harry) as the administrator. I explained a preservice for administrator in child care form must be completed, reviewed and signed by the individual authorized to make decision on behalf of the organization then be sent to me. I also requested a written statement providing information about the change in administrators to include the first day you started in the role and the last day of employment for the previous administrator. GROUPING OF CHILDREN: A three-year-old child was grouped with one-year-old children in Space #110. Although the grouping occurred with the first hour of operation, we talked about monitoring to ensure transition occurs as required to maintain compliance with staff/child ratio requirements. It was explained children are grouped together due to shortage of staff and to meet the Office of Head Start requirements of always having two teachers in the classroom. I reiterated closely monitoring and developing a plan to ensure requirements can be met for both agencies. ARRIVAL/DEPARTURE: Arrival and Departure times should be documented for all children upon entering the center and leaving at the end of the day. We discussed reviewing the sign in/out logs to ensure arrival and departure times are recorded. If parents do not record the times, it could be documented by the staff and initialed reflecting person recording the information. SURFACING MAINTENANCE: Although adequate surfacing was on the playground, I advised you to have maintenance remove the patches of grass growing through it. I shared the grass eliminates the resiliency needed to reduce injuries in the event of an incident. OUTDOOR PLAY INSPECTIONS: You stated you could not find the outdoor play inspections completed by the previous administrator. I recommended storing all records in a centralized location to be accessed during monitoring visits. This will ensure they are completed and available for review. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children Free online continuing ed. for educators of children ages 3-10 This course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). Continuing Education Information •Approved by the Division of Child Development and Early Education for 3 contact hours. •3 general education credits ASWB ACE •3 contact hours NBCC This training meets competencies for the Infant and Early Childhood Mental Health Endorsement. Refer to the Raising North Carolina news letter for more information. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/11/2024 Number Present: 96 Completed Date: 10/11/2024 Age: From 1 To 5 Total Minutes: 160 Time In: 08:20 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival G. Faison, Floater assisted with the visit. You arrived shortly after and assisted. Fifty-four(54) children were observed in care today ranging from one to five years old. Children were engaged morning activities, free choice play with developmentally age-appropriate materials, interacting with the teachers, eating breakfast and lunch, and completing toileting, and hand washing routines and napping. Breakfast consisted of pancakes with syrup, tropical fruits, and milk. Lunch consisted of tomato soup, grilled cheese sandwiches, strawberries, and milk. One child had a ham sandwich. Currently this program operates with a Five-star license. The last sanitation inspection was completed on October 7, 2024, earning a superior classification. The last fire inspection was completed on October 8, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on April 11, 2024. The following violations were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for several children from October 2, 2024, to October 10, 2024. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. An active ant bed in space accessible to children was observed near the shed near the storage building and paint was peeling from the wheel at the back left side of the preschool playground. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation was not o file verifying outdoor play inspections were completed for May 2024 and June 2024. .0605(q) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 25, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. CORPORATION STATUS: Choanoke Area Development Association of North Carolina, Incorporated is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Choanoke Area Development Association of North Carolina, Incorporated remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 84% percent as of October 10, 2024. STAFF/CHILD INTERACTIONS: During my observation, children in were observed completing art activities, engaged in table play with manipulatives, participating in free-choice play, completing routines for hand washing and toileting with the guidance of teachers. Teachers and children sang along with fingerplays as the transitioned from their classes to the cafeteria for lunch. I also observed children participate in bus evacuation drills and discuss fire safety. A variety of age-appropriate materials and toys were available and used for play. Staff interacted with children in a positive nurturing manner. PROGRAM ADMINISTRATOR: You stated an administrator was not assigned to this program. It was reported a different person from the main office comes to manage the center each day. I informed you an administrator had to be assigned for this program today. You stated information had been emailed to me listing you (Ayesha Harry) as the administrator. I explained a preservice for administrator in child care form must be completed, reviewed and signed by the individual authorized to make decision on behalf of the organization then be sent to me. I also requested a written statement providing information about the change in administrators to include the first day you started in the role and the last day of employment for the previous administrator. GROUPING OF CHILDREN: A three-year-old child was grouped with one-year-old children in Space #110. Although the grouping occurred with the first hour of operation, we talked about monitoring to ensure transition occurs as required to maintain compliance with staff/child ratio requirements. It was explained children are grouped together due to shortage of staff and to meet the Office of Head Start requirements of always having two teachers in the classroom. I reiterated closely monitoring and developing a plan to ensure requirements can be met for both agencies. ARRIVAL/DEPARTURE: Arrival and Departure times should be documented for all children upon entering the center and leaving at the end of the day. We discussed reviewing the sign in/out logs to ensure arrival and departure times are recorded. If parents do not record the times, it could be documented by the staff and initialed reflecting person recording the information. SURFACING MAINTENANCE: Although adequate surfacing was on the playground, I advised you to have maintenance remove the patches of grass growing through it. I shared the grass eliminates the resiliency needed to reduce injuries in the event of an incident. OUTDOOR PLAY INSPECTIONS: You stated you could not find the outdoor play inspections completed by the previous administrator. I recommended storing all records in a centralized location to be accessed during monitoring visits. This will ensure they are completed and available for review. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children Free online continuing ed. for educators of children ages 3-10 This course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). Continuing Education Information •Approved by the Division of Child Development and Early Education for 3 contact hours. •3 general education credits ASWB ACE •3 contact hours NBCC This training meets competencies for the Infant and Early Childhood Mental Health Endorsement. Refer to the Raising North Carolina news letter for more information. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 10/11/2024 Number Present: 96 Completed Date: 10/11/2024 Age: From 1 To 5 Total Minutes: 160 Time In: 08:20 AM Time Out: 11:00 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s unannounced visit was to monitor your facility for compliance with applicable child care requirements during a routine unannounced visit. Upon arrival G. Faison, Floater assisted with the visit. You arrived shortly after and assisted. Fifty-four(54) children were observed in care today ranging from one to five years old. Children were engaged morning activities, free choice play with developmentally age-appropriate materials, interacting with the teachers, eating breakfast and lunch, and completing toileting, and hand washing routines and napping. Breakfast consisted of pancakes with syrup, tropical fruits, and milk. Lunch consisted of tomato soup, grilled cheese sandwiches, strawberries, and milk. One child had a ham sandwich. Currently this program operates with a Five-star license. The last sanitation inspection was completed on October 7, 2024, earning a superior classification. The last fire inspection was completed on October 8, 2024, and the center was approved for daytime care. The last annual compliance visit was completed on April 11, 2024. The following violations were documented today. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not recorded for several children from October 2, 2024, to October 10, 2024. 10A NCAC 09 .0302(d)(4) 807 A safe indoor and outdoor environment was not provided for the children. An active ant bed in space accessible to children was observed near the shed near the storage building and paint was peeling from the wheel at the back left side of the preschool playground. 10A NCAC 09 .0601(a) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. Documentation was not o file verifying outdoor play inspections were completed for May 2024 and June 2024. .0605(q) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 25, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. CORPORATION STATUS: Choanoke Area Development Association of North Carolina, Incorporated is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Choanoke Area Development Association of North Carolina, Incorporated remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. COMPLIANCE HISTORY: The program's compliance history was reviewed with the operator. The program’s compliance history was 84% percent as of October 10, 2024. STAFF/CHILD INTERACTIONS: During my observation, children in were observed completing art activities, engaged in table play with manipulatives, participating in free-choice play, completing routines for hand washing and toileting with the guidance of teachers. Teachers and children sang along with fingerplays as the transitioned from their classes to the cafeteria for lunch. I also observed children participate in bus evacuation drills and discuss fire safety. A variety of age-appropriate materials and toys were available and used for play. Staff interacted with children in a positive nurturing manner. PROGRAM ADMINISTRATOR: You stated an administrator was not assigned to this program. It was reported a different person from the main office comes to manage the center each day. I informed you an administrator had to be assigned for this program today. You stated information had been emailed to me listing you (Ayesha Harry) as the administrator. I explained a preservice for administrator in child care form must be completed, reviewed and signed by the individual authorized to make decision on behalf of the organization then be sent to me. I also requested a written statement providing information about the change in administrators to include the first day you started in the role and the last day of employment for the previous administrator. GROUPING OF CHILDREN: A three-year-old child was grouped with one-year-old children in Space #110. Although the grouping occurred with the first hour of operation, we talked about monitoring to ensure transition occurs as required to maintain compliance with staff/child ratio requirements. It was explained children are grouped together due to shortage of staff and to meet the Office of Head Start requirements of always having two teachers in the classroom. I reiterated closely monitoring and developing a plan to ensure requirements can be met for both agencies. ARRIVAL/DEPARTURE: Arrival and Departure times should be documented for all children upon entering the center and leaving at the end of the day. We discussed reviewing the sign in/out logs to ensure arrival and departure times are recorded. If parents do not record the times, it could be documented by the staff and initialed reflecting person recording the information. SURFACING MAINTENANCE: Although adequate surfacing was on the playground, I advised you to have maintenance remove the patches of grass growing through it. I shared the grass eliminates the resiliency needed to reduce injuries in the event of an incident. OUTDOOR PLAY INSPECTIONS: You stated you could not find the outdoor play inspections completed by the previous administrator. I recommended storing all records in a centralized location to be accessed during monitoring visits. This will ensure they are completed and available for review. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Teaching the Whole Child: Supporting the Social-Emotional Wellness of Preschool and Elementary School-Aged Children Free online continuing ed. for educators of children ages 3-10 This course explores the connection between students’ social-emotional development, learning, and wellness with their success in Pre-K and elementary school classrooms. The utility of attending to social-emotional wellness and ranges of typical development is discussed, as well as the impact of trauma on students and how school staff can support children in concrete ways to promote their social-emotional learning (SEL). Continuing Education Information •Approved by the Division of Child Development and Early Education for 3 contact hours. •3 general education credits ASWB ACE •3 contact hours NBCC This training meets competencies for the Infant and Early Childhood Mental Health Endorsement. Refer to the Raising North Carolina news letter for more information. At the conclusion of today’s visit, the visit summary report was completed, reviewed, and left with you. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 4/11/2024 Number Present: 75 Completed Date: 4/11/2024 Age: From 2 To 5 Total Minutes: 290 Time In: 08:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced child care requirements during an annual compliance visit. L. Riddick, Administrator and C. Robinson, Staff Development Coordinator assisted with the visit. This center currently operates with a five-star license, earning seven points in the education component, seven points in the program standard component and 1 quality point Has reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was completed on August 29, 2023. The last sanitation inspection was completed on October 20, 2023, earning a “Superior” classification. The last fire inspection was completed on September 13, 2023, and the center was approved for daytime care only. Seventy-five (75) children were observed in care today. Children were engaged in morning activities, free choice play with developmentally age-appropriate materials in various activity areas, outdoor play, completing toileting and hand washing routines, interacting with teachers, eating breakfast and lunch and napping. Breakfast consisted of Cinnamon Toast Crunch cereal strawberries, milk, and water. Lunch consisted of sliced ham, bread, peas/carrots, pears, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of April 10, 2024. The following violations were documented. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for nine (9) children on April 10, 2024, and six (6) children on April 8, 2024. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. Current activity plans were not posted or available for review in Spaces # 111 and 116. GS 110-91(12);.0508(a) 807 A safe indoor and outdoor environment was not provided for the children. A cracked plastic cup exposing sharp edges was on a shelf accessible to children in Space 119, Clean Em Touch Disinfectant wipes labeled keep out of reach of children with additional warnings were stored in areas below 5ft from the finished floor in Spaces # 111, 112 and in the bathroom between spaces 116 and 117. An aerosol can of Mac Premium Start Fluid was in a crate behind the driver's seat on bus #117. A small container of hand sanitizer with a labeled keep out of reach of children was stored on a counter below 5ft from the floor in Space #109. Two sections of the black border enclosing the surfacing on the playground were cracked exposing sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Furniture polish and disinfectant spray in aerosol dispensed containers were in an unlocked closet in Space #111, an unlocked bathroom is the cafeteria, and on top of a wall cabinet in Space #109. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Authorization forms were not on file and available for review for asthma medication for four children enrolled. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were inside cubbies below 5ft from the finished floor in Space #110 serving children two years old. .0604(q) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before April 25, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Choanoke Area Development Association of North Carolina, Incorporated is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Choanoke Area Development Association of North Carolina, Incorporated remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. NC PRE-K REQUIREMENTS: This program currently has one (1) NC Pre-K classrooms serving a total of eighteen children. Lesson plans for March 2024 to April 2024 were reviewed today. Children were engaged in activities documented on the lesson plan reviewed. One staff member observed working in the classroom was the same listed in the NC Pre-K plan. A substitute was assisting in the classroom today. Staff interacted with children in a positive and nurturing manner. Staff reported the program continues to use the Creative Curriculum and Teaching Strategies Gold. You stated the program continues to use the Foundations for Early Learning. Developmental screenings using Brigance were completed and on file in children records reviewed today. The program’s monitoring tool was not available for review. Menus for the month of March 2024 were posted and reviewed. MEDICATION REQUIREMENTS: I reminded you and staff permission to administer medication forms must be completed and provided to administer medication to children. Asthma medication observed today did not have authorization forms. Action plans were with the medication; however, it did not include information regarding authorization to administer. The family service specialist stated she has printed authorization forms and would have parents to complete today during departure. SAFE ENVIRONMENT: I reminded you a safe environment must always be provided for children. Items in aerosol dispensed containers must be locked. These items do not meet the requirements for storing five feet from the finished floor. I reminded staff to ensure closet and cabinet doors are securely closed. Labels should be read for all items brough in for children to use or that will be stored in spaces accessible to children. I recommended posting copies of the storage of hazardous items flyers in classrooms for staff to use as a guide. You stated you would obtain something to cover the cracked areas on the black borders enclosing the surfacing on the playground. You should check for broken and cracked areas in all spaces used by children. If potential hazards are identified they should be removed, replaced, or repaired immediately. I informed you plastic bags should be stored out of reach of children at least 5ft from the finished floor in spaced providing care to children under the age of three. If parents bring items inside plastic bags the items should be removed, and plastic bags discarded or stored appropriately. ARRIVAL/DEPARTURE TIMES: Arrival and departure times should be documented when children arrive and leave the center for the day. Staff should check logs to ensure children have been checked in and out with times recorded. If parents do not document the times teachers should do so and include their initials or signature to reflect who completed the log. ACTIVITY PLANS: Activity plans were not available for review in two classrooms. One staff stated the activity plan was taken by a colleague and the other shared her activity plan was not printed. It was recommended completing and printing activity plans the week prior and posting it to ensure it is readily available for the current week. LEAD WATER/PAINT AND ASBESTOS: We discussed the rule requirements and information concerning Lead in Water/Paint and Asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. CHILD CARE RULE UPDATES EFFECTIVE JANUARY 2024: Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0302 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 4/11/2024 Number Present: 75 Completed Date: 4/11/2024 Age: From 2 To 5 Total Minutes: 290 Time In: 08:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced child care requirements during an annual compliance visit. L. Riddick, Administrator and C. Robinson, Staff Development Coordinator assisted with the visit. This center currently operates with a five-star license, earning seven points in the education component, seven points in the program standard component and 1 quality point Has reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was completed on August 29, 2023. The last sanitation inspection was completed on October 20, 2023, earning a “Superior” classification. The last fire inspection was completed on September 13, 2023, and the center was approved for daytime care only. Seventy-five (75) children were observed in care today. Children were engaged in morning activities, free choice play with developmentally age-appropriate materials in various activity areas, outdoor play, completing toileting and hand washing routines, interacting with teachers, eating breakfast and lunch and napping. Breakfast consisted of Cinnamon Toast Crunch cereal strawberries, milk, and water. Lunch consisted of sliced ham, bread, peas/carrots, pears, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of April 10, 2024. The following violations were documented. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for nine (9) children on April 10, 2024, and six (6) children on April 8, 2024. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. Current activity plans were not posted or available for review in Spaces # 111 and 116. GS 110-91(12);.0508(a) 807 A safe indoor and outdoor environment was not provided for the children. A cracked plastic cup exposing sharp edges was on a shelf accessible to children in Space 119, Clean Em Touch Disinfectant wipes labeled keep out of reach of children with additional warnings were stored in areas below 5ft from the finished floor in Spaces # 111, 112 and in the bathroom between spaces 116 and 117. An aerosol can of Mac Premium Start Fluid was in a crate behind the driver's seat on bus #117. A small container of hand sanitizer with a labeled keep out of reach of children was stored on a counter below 5ft from the floor in Space #109. Two sections of the black border enclosing the surfacing on the playground were cracked exposing sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Furniture polish and disinfectant spray in aerosol dispensed containers were in an unlocked closet in Space #111, an unlocked bathroom is the cafeteria, and on top of a wall cabinet in Space #109. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Authorization forms were not on file and available for review for asthma medication for four children enrolled. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were inside cubbies below 5ft from the finished floor in Space #110 serving children two years old. .0604(q) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before April 25, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Choanoke Area Development Association of North Carolina, Incorporated is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Choanoke Area Development Association of North Carolina, Incorporated remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. NC PRE-K REQUIREMENTS: This program currently has one (1) NC Pre-K classrooms serving a total of eighteen children. Lesson plans for March 2024 to April 2024 were reviewed today. Children were engaged in activities documented on the lesson plan reviewed. One staff member observed working in the classroom was the same listed in the NC Pre-K plan. A substitute was assisting in the classroom today. Staff interacted with children in a positive and nurturing manner. Staff reported the program continues to use the Creative Curriculum and Teaching Strategies Gold. You stated the program continues to use the Foundations for Early Learning. Developmental screenings using Brigance were completed and on file in children records reviewed today. The program’s monitoring tool was not available for review. Menus for the month of March 2024 were posted and reviewed. MEDICATION REQUIREMENTS: I reminded you and staff permission to administer medication forms must be completed and provided to administer medication to children. Asthma medication observed today did not have authorization forms. Action plans were with the medication; however, it did not include information regarding authorization to administer. The family service specialist stated she has printed authorization forms and would have parents to complete today during departure. SAFE ENVIRONMENT: I reminded you a safe environment must always be provided for children. Items in aerosol dispensed containers must be locked. These items do not meet the requirements for storing five feet from the finished floor. I reminded staff to ensure closet and cabinet doors are securely closed. Labels should be read for all items brough in for children to use or that will be stored in spaces accessible to children. I recommended posting copies of the storage of hazardous items flyers in classrooms for staff to use as a guide. You stated you would obtain something to cover the cracked areas on the black borders enclosing the surfacing on the playground. You should check for broken and cracked areas in all spaces used by children. If potential hazards are identified they should be removed, replaced, or repaired immediately. I informed you plastic bags should be stored out of reach of children at least 5ft from the finished floor in spaced providing care to children under the age of three. If parents bring items inside plastic bags the items should be removed, and plastic bags discarded or stored appropriately. ARRIVAL/DEPARTURE TIMES: Arrival and departure times should be documented when children arrive and leave the center for the day. Staff should check logs to ensure children have been checked in and out with times recorded. If parents do not document the times teachers should do so and include their initials or signature to reflect who completed the log. ACTIVITY PLANS: Activity plans were not available for review in two classrooms. One staff stated the activity plan was taken by a colleague and the other shared her activity plan was not printed. It was recommended completing and printing activity plans the week prior and posting it to ensure it is readily available for the current week. LEAD WATER/PAINT AND ASBESTOS: We discussed the rule requirements and information concerning Lead in Water/Paint and Asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. CHILD CARE RULE UPDATES EFFECTIVE JANUARY 2024: Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 4/11/2024 Number Present: 75 Completed Date: 4/11/2024 Age: From 2 To 5 Total Minutes: 290 Time In: 08:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced child care requirements during an annual compliance visit. L. Riddick, Administrator and C. Robinson, Staff Development Coordinator assisted with the visit. This center currently operates with a five-star license, earning seven points in the education component, seven points in the program standard component and 1 quality point Has reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was completed on August 29, 2023. The last sanitation inspection was completed on October 20, 2023, earning a “Superior” classification. The last fire inspection was completed on September 13, 2023, and the center was approved for daytime care only. Seventy-five (75) children were observed in care today. Children were engaged in morning activities, free choice play with developmentally age-appropriate materials in various activity areas, outdoor play, completing toileting and hand washing routines, interacting with teachers, eating breakfast and lunch and napping. Breakfast consisted of Cinnamon Toast Crunch cereal strawberries, milk, and water. Lunch consisted of sliced ham, bread, peas/carrots, pears, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of April 10, 2024. The following violations were documented. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for nine (9) children on April 10, 2024, and six (6) children on April 8, 2024. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. Current activity plans were not posted or available for review in Spaces # 111 and 116. GS 110-91(12);.0508(a) 807 A safe indoor and outdoor environment was not provided for the children. A cracked plastic cup exposing sharp edges was on a shelf accessible to children in Space 119, Clean Em Touch Disinfectant wipes labeled keep out of reach of children with additional warnings were stored in areas below 5ft from the finished floor in Spaces # 111, 112 and in the bathroom between spaces 116 and 117. An aerosol can of Mac Premium Start Fluid was in a crate behind the driver's seat on bus #117. A small container of hand sanitizer with a labeled keep out of reach of children was stored on a counter below 5ft from the floor in Space #109. Two sections of the black border enclosing the surfacing on the playground were cracked exposing sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Furniture polish and disinfectant spray in aerosol dispensed containers were in an unlocked closet in Space #111, an unlocked bathroom is the cafeteria, and on top of a wall cabinet in Space #109. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Authorization forms were not on file and available for review for asthma medication for four children enrolled. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were inside cubbies below 5ft from the finished floor in Space #110 serving children two years old. .0604(q) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before April 25, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Choanoke Area Development Association of North Carolina, Incorporated is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Choanoke Area Development Association of North Carolina, Incorporated remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. NC PRE-K REQUIREMENTS: This program currently has one (1) NC Pre-K classrooms serving a total of eighteen children. Lesson plans for March 2024 to April 2024 were reviewed today. Children were engaged in activities documented on the lesson plan reviewed. One staff member observed working in the classroom was the same listed in the NC Pre-K plan. A substitute was assisting in the classroom today. Staff interacted with children in a positive and nurturing manner. Staff reported the program continues to use the Creative Curriculum and Teaching Strategies Gold. You stated the program continues to use the Foundations for Early Learning. Developmental screenings using Brigance were completed and on file in children records reviewed today. The program’s monitoring tool was not available for review. Menus for the month of March 2024 were posted and reviewed. MEDICATION REQUIREMENTS: I reminded you and staff permission to administer medication forms must be completed and provided to administer medication to children. Asthma medication observed today did not have authorization forms. Action plans were with the medication; however, it did not include information regarding authorization to administer. The family service specialist stated she has printed authorization forms and would have parents to complete today during departure. SAFE ENVIRONMENT: I reminded you a safe environment must always be provided for children. Items in aerosol dispensed containers must be locked. These items do not meet the requirements for storing five feet from the finished floor. I reminded staff to ensure closet and cabinet doors are securely closed. Labels should be read for all items brough in for children to use or that will be stored in spaces accessible to children. I recommended posting copies of the storage of hazardous items flyers in classrooms for staff to use as a guide. You stated you would obtain something to cover the cracked areas on the black borders enclosing the surfacing on the playground. You should check for broken and cracked areas in all spaces used by children. If potential hazards are identified they should be removed, replaced, or repaired immediately. I informed you plastic bags should be stored out of reach of children at least 5ft from the finished floor in spaced providing care to children under the age of three. If parents bring items inside plastic bags the items should be removed, and plastic bags discarded or stored appropriately. ARRIVAL/DEPARTURE TIMES: Arrival and departure times should be documented when children arrive and leave the center for the day. Staff should check logs to ensure children have been checked in and out with times recorded. If parents do not document the times teachers should do so and include their initials or signature to reflect who completed the log. ACTIVITY PLANS: Activity plans were not available for review in two classrooms. One staff stated the activity plan was taken by a colleague and the other shared her activity plan was not printed. It was recommended completing and printing activity plans the week prior and posting it to ensure it is readily available for the current week. LEAD WATER/PAINT AND ASBESTOS: We discussed the rule requirements and information concerning Lead in Water/Paint and Asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. CHILD CARE RULE UPDATES EFFECTIVE JANUARY 2024: Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 4/11/2024 Number Present: 75 Completed Date: 4/11/2024 Age: From 2 To 5 Total Minutes: 290 Time In: 08:25 AM Time Out: 01:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced child care requirements during an annual compliance visit. L. Riddick, Administrator and C. Robinson, Staff Development Coordinator assisted with the visit. This center currently operates with a five-star license, earning seven points in the education component, seven points in the program standard component and 1 quality point Has reduced group size by one in each group from the seven-point level as required in Rule .2818(c). The last annual compliance visit was completed on August 29, 2023. The last sanitation inspection was completed on October 20, 2023, earning a “Superior” classification. The last fire inspection was completed on September 13, 2023, and the center was approved for daytime care only. Seventy-five (75) children were observed in care today. Children were engaged in morning activities, free choice play with developmentally age-appropriate materials in various activity areas, outdoor play, completing toileting and hand washing routines, interacting with teachers, eating breakfast and lunch and napping. Breakfast consisted of Cinnamon Toast Crunch cereal strawberries, milk, and water. Lunch consisted of sliced ham, bread, peas/carrots, pears, and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was 86% as of April 10, 2024. The following violations were documented. Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Departure times were not documented for nine (9) children on April 10, 2024, and six (6) children on April 8, 2024. 10A NCAC 09 .0302(d)(4) 415 A current schedule was not posted for each group of children for reference. Current activity plans were not posted or available for review in Spaces # 111 and 116. GS 110-91(12);.0508(a) 807 A safe indoor and outdoor environment was not provided for the children. A cracked plastic cup exposing sharp edges was on a shelf accessible to children in Space 119, Clean Em Touch Disinfectant wipes labeled keep out of reach of children with additional warnings were stored in areas below 5ft from the finished floor in Spaces # 111, 112 and in the bathroom between spaces 116 and 117. An aerosol can of Mac Premium Start Fluid was in a crate behind the driver's seat on bus #117. A small container of hand sanitizer with a labeled keep out of reach of children was stored on a counter below 5ft from the floor in Space #109. Two sections of the black border enclosing the surfacing on the playground were cracked exposing sharp edges. 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Furniture polish and disinfectant spray in aerosol dispensed containers were in an unlocked closet in Space #111, an unlocked bathroom is the cafeteria, and on top of a wall cabinet in Space #109. .2820(b) 842 A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional. Authorization forms were not on file and available for review for asthma medication for four children enrolled. 10A NCAC 09 .0803(1)(a & b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Plastic grocery bags were inside cubbies below 5ft from the finished floor in Space #110 serving children two years old. .0604(q) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violations were corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before April 25, 2024. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. CORPORATION STATUS: Choanoke Area Development Association of North Carolina, Incorporated is listed as the current owner of this center. According to information verified on the North Carolina Secretary of State’s website, Choanoke Area Development Association of North Carolina, Incorporated remains current and active. I reminded you the corporation status for your program must always remain Current and Active. Failure to comply may affect your child care license. FACILITY PROFILE INFORMATION: You verified the phone number email address and mailing address listed on the facility profile are correct. If changes in your facility’s information occur in the future, contact me at 252-214-2709 or email keshia.hayward@dhhs.nc.gov to discuss the changes and ensure accurate information is updated in our system. NC PRE-K REQUIREMENTS: This program currently has one (1) NC Pre-K classrooms serving a total of eighteen children. Lesson plans for March 2024 to April 2024 were reviewed today. Children were engaged in activities documented on the lesson plan reviewed. One staff member observed working in the classroom was the same listed in the NC Pre-K plan. A substitute was assisting in the classroom today. Staff interacted with children in a positive and nurturing manner. Staff reported the program continues to use the Creative Curriculum and Teaching Strategies Gold. You stated the program continues to use the Foundations for Early Learning. Developmental screenings using Brigance were completed and on file in children records reviewed today. The program’s monitoring tool was not available for review. Menus for the month of March 2024 were posted and reviewed. MEDICATION REQUIREMENTS: I reminded you and staff permission to administer medication forms must be completed and provided to administer medication to children. Asthma medication observed today did not have authorization forms. Action plans were with the medication; however, it did not include information regarding authorization to administer. The family service specialist stated she has printed authorization forms and would have parents to complete today during departure. SAFE ENVIRONMENT: I reminded you a safe environment must always be provided for children. Items in aerosol dispensed containers must be locked. These items do not meet the requirements for storing five feet from the finished floor. I reminded staff to ensure closet and cabinet doors are securely closed. Labels should be read for all items brough in for children to use or that will be stored in spaces accessible to children. I recommended posting copies of the storage of hazardous items flyers in classrooms for staff to use as a guide. You stated you would obtain something to cover the cracked areas on the black borders enclosing the surfacing on the playground. You should check for broken and cracked areas in all spaces used by children. If potential hazards are identified they should be removed, replaced, or repaired immediately. I informed you plastic bags should be stored out of reach of children at least 5ft from the finished floor in spaced providing care to children under the age of three. If parents bring items inside plastic bags the items should be removed, and plastic bags discarded or stored appropriately. ARRIVAL/DEPARTURE TIMES: Arrival and departure times should be documented when children arrive and leave the center for the day. Staff should check logs to ensure children have been checked in and out with times recorded. If parents do not document the times teachers should do so and include their initials or signature to reflect who completed the log. ACTIVITY PLANS: Activity plans were not available for review in two classrooms. One staff stated the activity plan was taken by a colleague and the other shared her activity plan was not printed. It was recommended completing and printing activity plans the week prior and posting it to ensure it is readily available for the current week. LEAD WATER/PAINT AND ASBESTOS: We discussed the rule requirements and information concerning Lead in Water/Paint and Asbestos. The Clean Water for Carolina Kids program is expanding to the Clean Classrooms for Carolina Kids program. This is a legislatively mandated effort to address lead and asbestos hazards in North Carolina public schools, licensed child care centers, and licensed family child care homes. Participation allows facilities to meet all rule requirements for identified lead and asbestos hazards, as required by law. Rules 10A NCAC 41C .1001 through .1007 require all programs to be free of lead and asbestos hazards. RTI is coordinating all the lead in water, paint and asbestos testing and remediation. There are webinars that child care providers can watch to get instructions. Go to https://www.cleanwaterforuskids.org/en/carolina/ for more information. Currently operating child care facilities are required to test for lead in paint and asbestos once unless the consultant notes a concern during a visit and refers the program to environmental health. All existing licensed programs must complete the application summary for their program regarding lead paint and asbestos by May 1, 2024. The application is on the https://www.cleanwaterforuskids.org/en/carolina/ website. CHILD CARE RULE UPDATES EFFECTIVE JANUARY 2024: Please ensure you are using the updated rule book dated January 1, 2024, and review information in the DCDEE Moodle regarding the updated rule changes. You will need to have an NCID - the same NCID that you use for the health & safety training, WORKS login, and/or the CBC Portal - to participate in Moodle training. If you do not have an NCID, use this link to get one: https://ncid.nc.gov. Rule training modules can be found in the same course as the October 2017 Child Care Rule Rollout. If you are unfamiliar with the Child Care Rule Rollout within Moodle and how to navigate, please visit: https://ncchildcare.ncdhhs.gov/Learning-Resources/How-to-Navigate-Moodle. To get help with Moodle, email DCDEE_Moodle_Support@dhhs.nc.gov or call (919) 814-9326. PROVIDER ACCESS to the BACKGROUND CHECK MANAGEMENT SYSTEM DCDEE has launched the Provider Portal for ABCMS effective February 1, 2024. This access will allow providers to: •See applicants that associate themselves with their facility and allow them to “hire” the applicant to their roster •See the real-time background check status of staff members •Run a printable report of the staff roster to assist with compliance visits To gain access to the Provider Portal complete the ABCMS Child Care Provider Portal Training on DCDEE's Moodle. The training consists of watching a short video then taking a test about the video. A certificate will be issued upon successful completion of the test. Email the certificate along with your full name, position and Facility ID to DCDEE_ABCMS_Provider@dhhs.nc.gov to get access to the portal. We will grant your access within 2 business days. Please do not use this email account to ask background check questions. If you have general questions, please continue to use DHHS.CBC.Unit@dhhs.nc.gov. EQUIVALENCY EXAM OFFLINE for MAINTENANCE: The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. Better yet, take advantage of DCDEE’s offer of a No-Cost Professional Development Teacher Membership and earn your CDA! The NC Early Childhood Equivalency exam located in Moodle will be unavailable until further notice for updates. In the meantime, earn the Early Childhood Education Certificate by enrolling in EDU 119 at a local community college. DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 43 Completed Date: 9/28/2023 Age: From 2 To 5 Total Minutes: 130 Time In: 08:40 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements, monitor, children records, transportation, staff/child interaction and nutrition requirements to finalize the an annual compliance visit. L. Riddick, Administrator was not on present; however, she came to the center for a short period of time. G. Faison, Office Manager assisted with the visit. This center currently operates with a five-star license, earning seven points in the education component, seven points in the program standard component and 1 quality point for having a reduced group size by one in each group from the seven-point level as required in Child Care Rule 10A NCAC 09 .28818 (c). The last annual compliance visit was completed on August 30, 2022. This program continues to meet enhanced ratio requirements. The last sanitation inspection was completed on September 26, 2022, with a “Superior” classification. The last fire inspection was completed on September 13, 2023, and the center was approved for daytime care only. Forty-three children were observed in care today ranging from ages two to five years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, completing hand washing and toileting routines, interacting with teachers. Breakfast and lunch were also observed. Breakfast consisted of pancakes with syrup, applesauce, and milk. Lunch consisted of cheese pizza, toss salad, sliced oranges and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (92%) as of September 28, 2023. The following violations were documented today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was not completed on or before the date of the previous inspection dated September 26, 2022. 10A NCAC 09 .0304(b) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was not completed on or before the expiration date of September 13, 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented for children enrolled in Spaces 112, 117 and 119 between the dates of September 15, 2023, to September 27, 2023. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #117. The lesson plan posted was dated from September 11, 202, to September 15, 2023. GS 110-91(12); .0508(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. An EpiPen observed in Space #110 for a child enrolled was not in the original container. 15A NCAC 18A .2820(d) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 12, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. MEDICATION REQUIREMENTS: An EpiPen observed in Space #112 for one child enrolled was not in the original container. The Family Service Manager stated she has spoken with the parent and requested the original container, and it would be brought in as soon as possible. I explained the importance of ensuring medication is received in the original container is to verify it was prescribed to the child. Also, the medication has specific instruction given by the health care professional. I advise you to follow up with the parent about providing the original container with the child’s name and pharmacy label. ANNUAL INSPECTIONS: The fire and sanitation inspection for your program expired. According to Ms. Riddick, contact has been made with the fire department and Environmental Health to inquire about the inspections; however, they have not been completed yet. I asked that you reach out to both inspectors again to request an inspection be scheduled. To be proactive and ensure inspections are completed on or before the inspection dates, I recommend reaching out to both agencies to ensure you are on schedule for inspections at your facility. ARRIVAL AND DEPARTURE: Arrival and departure times were not documented on the logs reviewed in Space 112, 117 and 119 for children between the dates of September 15, 2023, to September 27, 2023. I informed you and staff arrival and departure times must be documented upon children arriving and departing from the center daily. Staff stated some children ride the school bus. I recommended staff documenting the times of the bus arrival and departure for those children and add they are bus riders. I suggested creating logs with the names of children already populated so parents and staff will only have to document the times and add signatures. This will help decrease time and ensure every child’s times are recorded. ACTIVITY PLANS: Please ensure a current activity plan is completed and posted in each classroom. It was recommended posting the activity plans on Fridays of the week prior. This will ensure the activity plan is current and readily available for the week. VISIT SUMMARY REVIEW: L. Riddick, Administrator gave verbal permission for me to review the visit summary report with G. Faison, Lead Teacher. IMMUNIZATION REPORTS: The Child Care Immunization Reports for this year are due by midnight on Wednesday, November 1, 2023. The immunization reports will not be accepted after that date. I advised you to set a reminder on your calendar to ensure it is completed and submitted prior to the deadline. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. WEBINAR: NO COST CDA’S: Recently DCDEE announced the opportunity for early care and learning teaching assistants and new teachers to get access to Child Development Associate® (CDA) coursework at NO COST. To learn more, plan to attend this webinar to hear from the DCDEE, Teaching Strategies and T.E.AC.H. The information for the webinar is listed below: Dated: Oct 3, 2023, 1:00 PM Eastern Time Please click the link below to join the webinar: https://teachingstrategies.zoom.us/j/96753731387?pwd=VE5aQ1g0bnR6aUZYTGNBbzdWbTJxdz09 Webinar ID: 967 5373 1387 and Passcode: 268674 DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. At the conclusion of this visit, the visit summary report was completed, reviewed and left with you. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

10A NCAC 09 .0304 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 43 Completed Date: 9/28/2023 Age: From 2 To 5 Total Minutes: 130 Time In: 08:40 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements, monitor, children records, transportation, staff/child interaction and nutrition requirements to finalize the an annual compliance visit. L. Riddick, Administrator was not on present; however, she came to the center for a short period of time. G. Faison, Office Manager assisted with the visit. This center currently operates with a five-star license, earning seven points in the education component, seven points in the program standard component and 1 quality point for having a reduced group size by one in each group from the seven-point level as required in Child Care Rule 10A NCAC 09 .28818 (c). The last annual compliance visit was completed on August 30, 2022. This program continues to meet enhanced ratio requirements. The last sanitation inspection was completed on September 26, 2022, with a “Superior” classification. The last fire inspection was completed on September 13, 2023, and the center was approved for daytime care only. Forty-three children were observed in care today ranging from ages two to five years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, completing hand washing and toileting routines, interacting with teachers. Breakfast and lunch were also observed. Breakfast consisted of pancakes with syrup, applesauce, and milk. Lunch consisted of cheese pizza, toss salad, sliced oranges and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (92%) as of September 28, 2023. The following violations were documented today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was not completed on or before the date of the previous inspection dated September 26, 2022. 10A NCAC 09 .0304(b) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was not completed on or before the expiration date of September 13, 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented for children enrolled in Spaces 112, 117 and 119 between the dates of September 15, 2023, to September 27, 2023. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #117. The lesson plan posted was dated from September 11, 202, to September 15, 2023. GS 110-91(12); .0508(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. An EpiPen observed in Space #110 for a child enrolled was not in the original container. 15A NCAC 18A .2820(d) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 12, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. MEDICATION REQUIREMENTS: An EpiPen observed in Space #112 for one child enrolled was not in the original container. The Family Service Manager stated she has spoken with the parent and requested the original container, and it would be brought in as soon as possible. I explained the importance of ensuring medication is received in the original container is to verify it was prescribed to the child. Also, the medication has specific instruction given by the health care professional. I advise you to follow up with the parent about providing the original container with the child’s name and pharmacy label. ANNUAL INSPECTIONS: The fire and sanitation inspection for your program expired. According to Ms. Riddick, contact has been made with the fire department and Environmental Health to inquire about the inspections; however, they have not been completed yet. I asked that you reach out to both inspectors again to request an inspection be scheduled. To be proactive and ensure inspections are completed on or before the inspection dates, I recommend reaching out to both agencies to ensure you are on schedule for inspections at your facility. ARRIVAL AND DEPARTURE: Arrival and departure times were not documented on the logs reviewed in Space 112, 117 and 119 for children between the dates of September 15, 2023, to September 27, 2023. I informed you and staff arrival and departure times must be documented upon children arriving and departing from the center daily. Staff stated some children ride the school bus. I recommended staff documenting the times of the bus arrival and departure for those children and add they are bus riders. I suggested creating logs with the names of children already populated so parents and staff will only have to document the times and add signatures. This will help decrease time and ensure every child’s times are recorded. ACTIVITY PLANS: Please ensure a current activity plan is completed and posted in each classroom. It was recommended posting the activity plans on Fridays of the week prior. This will ensure the activity plan is current and readily available for the week. VISIT SUMMARY REVIEW: L. Riddick, Administrator gave verbal permission for me to review the visit summary report with G. Faison, Lead Teacher. IMMUNIZATION REPORTS: The Child Care Immunization Reports for this year are due by midnight on Wednesday, November 1, 2023. The immunization reports will not be accepted after that date. I advised you to set a reminder on your calendar to ensure it is completed and submitted prior to the deadline. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. WEBINAR: NO COST CDA’S: Recently DCDEE announced the opportunity for early care and learning teaching assistants and new teachers to get access to Child Development Associate® (CDA) coursework at NO COST. To learn more, plan to attend this webinar to hear from the DCDEE, Teaching Strategies and T.E.AC.H. The information for the webinar is listed below: Dated: Oct 3, 2023, 1:00 PM Eastern Time Please click the link below to join the webinar: https://teachingstrategies.zoom.us/j/96753731387?pwd=VE5aQ1g0bnR6aUZYTGNBbzdWbTJxdz09 Webinar ID: 967 5373 1387 and Passcode: 268674 DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. At the conclusion of this visit, the visit summary report was completed, reviewed and left with you. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .28818 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 43 Completed Date: 9/28/2023 Age: From 2 To 5 Total Minutes: 130 Time In: 08:40 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements, monitor, children records, transportation, staff/child interaction and nutrition requirements to finalize the an annual compliance visit. L. Riddick, Administrator was not on present; however, she came to the center for a short period of time. G. Faison, Office Manager assisted with the visit. This center currently operates with a five-star license, earning seven points in the education component, seven points in the program standard component and 1 quality point for having a reduced group size by one in each group from the seven-point level as required in Child Care Rule 10A NCAC 09 .28818 (c). The last annual compliance visit was completed on August 30, 2022. This program continues to meet enhanced ratio requirements. The last sanitation inspection was completed on September 26, 2022, with a “Superior” classification. The last fire inspection was completed on September 13, 2023, and the center was approved for daytime care only. Forty-three children were observed in care today ranging from ages two to five years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, completing hand washing and toileting routines, interacting with teachers. Breakfast and lunch were also observed. Breakfast consisted of pancakes with syrup, applesauce, and milk. Lunch consisted of cheese pizza, toss salad, sliced oranges and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (92%) as of September 28, 2023. The following violations were documented today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was not completed on or before the date of the previous inspection dated September 26, 2022. 10A NCAC 09 .0304(b) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was not completed on or before the expiration date of September 13, 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented for children enrolled in Spaces 112, 117 and 119 between the dates of September 15, 2023, to September 27, 2023. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #117. The lesson plan posted was dated from September 11, 202, to September 15, 2023. GS 110-91(12); .0508(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. An EpiPen observed in Space #110 for a child enrolled was not in the original container. 15A NCAC 18A .2820(d) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 12, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. MEDICATION REQUIREMENTS: An EpiPen observed in Space #112 for one child enrolled was not in the original container. The Family Service Manager stated she has spoken with the parent and requested the original container, and it would be brought in as soon as possible. I explained the importance of ensuring medication is received in the original container is to verify it was prescribed to the child. Also, the medication has specific instruction given by the health care professional. I advise you to follow up with the parent about providing the original container with the child’s name and pharmacy label. ANNUAL INSPECTIONS: The fire and sanitation inspection for your program expired. According to Ms. Riddick, contact has been made with the fire department and Environmental Health to inquire about the inspections; however, they have not been completed yet. I asked that you reach out to both inspectors again to request an inspection be scheduled. To be proactive and ensure inspections are completed on or before the inspection dates, I recommend reaching out to both agencies to ensure you are on schedule for inspections at your facility. ARRIVAL AND DEPARTURE: Arrival and departure times were not documented on the logs reviewed in Space 112, 117 and 119 for children between the dates of September 15, 2023, to September 27, 2023. I informed you and staff arrival and departure times must be documented upon children arriving and departing from the center daily. Staff stated some children ride the school bus. I recommended staff documenting the times of the bus arrival and departure for those children and add they are bus riders. I suggested creating logs with the names of children already populated so parents and staff will only have to document the times and add signatures. This will help decrease time and ensure every child’s times are recorded. ACTIVITY PLANS: Please ensure a current activity plan is completed and posted in each classroom. It was recommended posting the activity plans on Fridays of the week prior. This will ensure the activity plan is current and readily available for the week. VISIT SUMMARY REVIEW: L. Riddick, Administrator gave verbal permission for me to review the visit summary report with G. Faison, Lead Teacher. IMMUNIZATION REPORTS: The Child Care Immunization Reports for this year are due by midnight on Wednesday, November 1, 2023. The immunization reports will not be accepted after that date. I advised you to set a reminder on your calendar to ensure it is completed and submitted prior to the deadline. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. WEBINAR: NO COST CDA’S: Recently DCDEE announced the opportunity for early care and learning teaching assistants and new teachers to get access to Child Development Associate® (CDA) coursework at NO COST. To learn more, plan to attend this webinar to hear from the DCDEE, Teaching Strategies and T.E.AC.H. The information for the webinar is listed below: Dated: Oct 3, 2023, 1:00 PM Eastern Time Please click the link below to join the webinar: https://teachingstrategies.zoom.us/j/96753731387?pwd=VE5aQ1g0bnR6aUZYTGNBbzdWbTJxdz09 Webinar ID: 967 5373 1387 and Passcode: 268674 DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. At the conclusion of this visit, the visit summary report was completed, reviewed and left with you. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS 110-91 · Violation

Name of Operation: CADA HERTFORD COUNTY HEAD START / EHS CENTER Facility ID: 46000125 Consultant: KESHIA HAYWARD Operation Type: Center Case Number: Visit Date: 9/28/2023 Number Present: 43 Completed Date: 9/28/2023 Age: From 2 To 5 Total Minutes: 130 Time In: 08:40 AM Time Out: 10:50 AM Time In: Time Out: List to Use: Center Type Of Visit: Other Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor this program for compliance with applicable child care requirements, monitor, children records, transportation, staff/child interaction and nutrition requirements to finalize the an annual compliance visit. L. Riddick, Administrator was not on present; however, she came to the center for a short period of time. G. Faison, Office Manager assisted with the visit. This center currently operates with a five-star license, earning seven points in the education component, seven points in the program standard component and 1 quality point for having a reduced group size by one in each group from the seven-point level as required in Child Care Rule 10A NCAC 09 .28818 (c). The last annual compliance visit was completed on August 30, 2022. This program continues to meet enhanced ratio requirements. The last sanitation inspection was completed on September 26, 2022, with a “Superior” classification. The last fire inspection was completed on September 13, 2023, and the center was approved for daytime care only. Forty-three children were observed in care today ranging from ages two to five years old. Children were engaged in morning activities, free-choice play with developmentally age-appropriate materials, completing hand washing and toileting routines, interacting with teachers. Breakfast and lunch were also observed. Breakfast consisted of pancakes with syrup, applesauce, and milk. Lunch consisted of cheese pizza, toss salad, sliced oranges and milk. The center’s compliance history score was reviewed with the operator. The program’s compliance history was (92%) as of September 28, 2023. The following violations were documented today. Violation Number Comment Rule 104 Center has not passed required sanitation inspection and received an approved or superior rating. A sanitation inspection was not completed on or before the date of the previous inspection dated September 26, 2022. 10A NCAC 09 .0304(b) 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. A fire inspection was not completed on or before the expiration date of September 13, 2023. 10A NCAC 09 .0304(a) 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Arrival and departure times were not documented for children enrolled in Spaces 112, 117 and 119 between the dates of September 15, 2023, to September 27, 2023. 10A NCAC 09 .0302(d)(4) 428 A current activity plan was not posted for each group of children for reference. A current activity plan was not posted in Space #117. The lesson plan posted was dated from September 11, 202, to September 15, 2023. GS 110-91(12); .0508(a) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. An EpiPen observed in Space #110 for a child enrolled was not in the original container. 15A NCAC 18A .2820(d) The violations documented must be corrected immediately. Please send a compliance verification letter to me describing how the violation was corrected. You can submit the compliance verification letter by postal mail to Keshia Hayward, PO Box 1504 Greenville NC 27834, or email keshia.hayward@dhhs.nc.gov. The compliance verification letter must be received on or before October 12, 2023. The two-week time frame is established to allow you time for submitting your compliance verification letter. This timeframe is not intended to be used as a guide for correcting violations, as they should be corrected immediately. Please be aware that any written information submitted by you regarding correction of violations documented during the visit is legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined the information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility's Star Rated License could be issued. If sufficient information is not received by the due date, a follow-up visit will be conducted. MEDICATION REQUIREMENTS: An EpiPen observed in Space #112 for one child enrolled was not in the original container. The Family Service Manager stated she has spoken with the parent and requested the original container, and it would be brought in as soon as possible. I explained the importance of ensuring medication is received in the original container is to verify it was prescribed to the child. Also, the medication has specific instruction given by the health care professional. I advise you to follow up with the parent about providing the original container with the child’s name and pharmacy label. ANNUAL INSPECTIONS: The fire and sanitation inspection for your program expired. According to Ms. Riddick, contact has been made with the fire department and Environmental Health to inquire about the inspections; however, they have not been completed yet. I asked that you reach out to both inspectors again to request an inspection be scheduled. To be proactive and ensure inspections are completed on or before the inspection dates, I recommend reaching out to both agencies to ensure you are on schedule for inspections at your facility. ARRIVAL AND DEPARTURE: Arrival and departure times were not documented on the logs reviewed in Space 112, 117 and 119 for children between the dates of September 15, 2023, to September 27, 2023. I informed you and staff arrival and departure times must be documented upon children arriving and departing from the center daily. Staff stated some children ride the school bus. I recommended staff documenting the times of the bus arrival and departure for those children and add they are bus riders. I suggested creating logs with the names of children already populated so parents and staff will only have to document the times and add signatures. This will help decrease time and ensure every child’s times are recorded. ACTIVITY PLANS: Please ensure a current activity plan is completed and posted in each classroom. It was recommended posting the activity plans on Fridays of the week prior. This will ensure the activity plan is current and readily available for the week. VISIT SUMMARY REVIEW: L. Riddick, Administrator gave verbal permission for me to review the visit summary report with G. Faison, Lead Teacher. IMMUNIZATION REPORTS: The Child Care Immunization Reports for this year are due by midnight on Wednesday, November 1, 2023. The immunization reports will not be accepted after that date. I advised you to set a reminder on your calendar to ensure it is completed and submitted prior to the deadline. If you have questions about the Child Care Immunization Report, please email Immunization.Reports@dhhs.nc.gov or call 919-707-5595. WEBINAR: NO COST CDA’S: Recently DCDEE announced the opportunity for early care and learning teaching assistants and new teachers to get access to Child Development Associate® (CDA) coursework at NO COST. To learn more, plan to attend this webinar to hear from the DCDEE, Teaching Strategies and T.E.AC.H. The information for the webinar is listed below: Dated: Oct 3, 2023, 1:00 PM Eastern Time Please click the link below to join the webinar: https://teachingstrategies.zoom.us/j/96753731387?pwd=VE5aQ1g0bnR6aUZYTGNBbzdWbTJxdz09 Webinar ID: 967 5373 1387 and Passcode: 268674 DCDEE RESOURCES: I recommended you periodically visit the DCDEE website at https://ncchildcare.ncdhhs.gov/ under the "What's New" tab to stay abreast of updated information provided. Be reminded you are responsible for maintaining compliance with all applicable child care requirements whether they have been discussed or reviewed with you in the past. At the conclusion of this visit, the visit summary report was completed, reviewed and left with you. CONTACT INFORMATION: If you have questions regarding today’s visit, my contact information is listed above. You may also contact Licensing Supervisor, Susan Fuller at 252-373-9809 or email susan.fuller@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times