10A NCAC 09 .0304 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 15 Completed Date: 10/15/2025 Age: From 3 To 4 Total Minutes: 147 Time In: 09:33 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Today, Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center license issued on 5/23/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance with the Rated License Assessment visit was conducted on 4/24/25. The last fire drill was practiced on 9/29/25. The last lockdown drill was practiced on 9/12/25. The last playground inspection was documented on 9/22/25. The last fire inspection was approved on 9/24/25. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint testing was marked complete. Asbestos testing is waiting for one-site visit result. Upon arrival, I announced my presence and the purpose of the visit. A total of fifteen (15) children, three (3) to four (4) years of age, were present with two (2) staff members. The children engaged in various activities and materials, including art with crayons, building with Legos, small wood pieces, dress up clothes, blocks and their accessories, magnetic letters, etc. Both staff members actively engaged in conversations with the children throughout the visit. Some challenging behaviors were observed during the visit, including refusal to clean up and throwing tantrums upon clean up time. The staff members worked collaboratively and calmly addressed each situation. No children are on medications currently. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid certificates. Both members had valid qualification letters and CPR/First Aid certificates in their files. The playground was monitored. During the observation, a group of four (4) children and three (3) adults, who were not Head Start staff, were present on the playground. According to an interview with one (1) of the adults, they and the children were part of a preschool program operated by Buncombe County Schools. Their classroom was located next to the Head Start classroom and operated for three (3) hours each day. According to an interview with a staff member from the Head Start program, the Buncombe County Schools preschool staff and children leave the playground when the Head Start program goes outside. An igloo/dome structure was observed on the playground. According to the Buncombe County Schools staff member, the structure had been brought onto the playground by their program, not by the Head Start classroom. The critical height of the structure is approximately forty-seven (47) inches. All the identification stickers were peeled or scraped on the structure to determine its American Society for Testing and Materials (ASTM) safety certification and product specifications. The children were observed on the playground. According to a staff member, the dome structure was brought in today; it was the first time the children had seen it. I discussed the use of the dome structure with the Head Start staff members. Lunch was served during the visit. Today, turkey/ham cheese sandwich, slices peaches, tater tots, and milk were served. Items were accurately listed on the menu. Supervision during lunch was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to monitoring tool not completed yet. No children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The license posted in the classroom was a four-star center license issued on 2/25/23. A five-star center license was issued on 5/23/25, but it was not posted. G.S. 110-99(a1) 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. A can of Clorox disinfecting/sanitizing spray was on the top shelf in a cabinet in the bathroom. The key to the cabinet had been left in the lock. .2820(b) Technical assistance was provided as follows: 102: license Current license must be posted in a prominent place in the classroom. You were issued with a new five-star license in May 2025. Please contact Mr. Wolff and locate the license and post it in the classroom. If you cannot locate the license, please notify me at kaoru.eddins@dhhs.nc.gov or 828. 556.9013. § 110 99. Possession and display of license. Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 840: hazardous products Any products in aerosol cans must be stored in a locked storage. The key to the storage must be maintained out of the lock. If the key is in the lock, the storage is not considered locked. This was corrected during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Igloo/dome climber: I discussed the use of the dome structure with the Head Start staff members. Due to safety concerns and the lack of appropriate fall zones, the structure shall not be used as a climber. However, it may be used as an igloo or playhouse. If children’s use of the structure becomes an issue, the structure shall be removed from the playground. Close supervision is required to prevent children from climbing on the structure. Rated License Assessment: The program is due for a renewal of Rated License in May 2028. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. nineIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 15 Completed Date: 10/15/2025 Age: From 3 To 4 Total Minutes: 147 Time In: 09:33 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Today, Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center license issued on 5/23/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance with the Rated License Assessment visit was conducted on 4/24/25. The last fire drill was practiced on 9/29/25. The last lockdown drill was practiced on 9/12/25. The last playground inspection was documented on 9/22/25. The last fire inspection was approved on 9/24/25. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint testing was marked complete. Asbestos testing is waiting for one-site visit result. Upon arrival, I announced my presence and the purpose of the visit. A total of fifteen (15) children, three (3) to four (4) years of age, were present with two (2) staff members. The children engaged in various activities and materials, including art with crayons, building with Legos, small wood pieces, dress up clothes, blocks and their accessories, magnetic letters, etc. Both staff members actively engaged in conversations with the children throughout the visit. Some challenging behaviors were observed during the visit, including refusal to clean up and throwing tantrums upon clean up time. The staff members worked collaboratively and calmly addressed each situation. No children are on medications currently. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid certificates. Both members had valid qualification letters and CPR/First Aid certificates in their files. The playground was monitored. During the observation, a group of four (4) children and three (3) adults, who were not Head Start staff, were present on the playground. According to an interview with one (1) of the adults, they and the children were part of a preschool program operated by Buncombe County Schools. Their classroom was located next to the Head Start classroom and operated for three (3) hours each day. According to an interview with a staff member from the Head Start program, the Buncombe County Schools preschool staff and children leave the playground when the Head Start program goes outside. An igloo/dome structure was observed on the playground. According to the Buncombe County Schools staff member, the structure had been brought onto the playground by their program, not by the Head Start classroom. The critical height of the structure is approximately forty-seven (47) inches. All the identification stickers were peeled or scraped on the structure to determine its American Society for Testing and Materials (ASTM) safety certification and product specifications. The children were observed on the playground. According to a staff member, the dome structure was brought in today; it was the first time the children had seen it. I discussed the use of the dome structure with the Head Start staff members. Lunch was served during the visit. Today, turkey/ham cheese sandwich, slices peaches, tater tots, and milk were served. Items were accurately listed on the menu. Supervision during lunch was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to monitoring tool not completed yet. No children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The license posted in the classroom was a four-star center license issued on 2/25/23. A five-star center license was issued on 5/23/25, but it was not posted. G.S. 110-99(a1) 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. A can of Clorox disinfecting/sanitizing spray was on the top shelf in a cabinet in the bathroom. The key to the cabinet had been left in the lock. .2820(b) Technical assistance was provided as follows: 102: license Current license must be posted in a prominent place in the classroom. You were issued with a new five-star license in May 2025. Please contact Mr. Wolff and locate the license and post it in the classroom. If you cannot locate the license, please notify me at kaoru.eddins@dhhs.nc.gov or 828. 556.9013. § 110 99. Possession and display of license. Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 840: hazardous products Any products in aerosol cans must be stored in a locked storage. The key to the storage must be maintained out of the lock. If the key is in the lock, the storage is not considered locked. This was corrected during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Igloo/dome climber: I discussed the use of the dome structure with the Head Start staff members. Due to safety concerns and the lack of appropriate fall zones, the structure shall not be used as a climber. However, it may be used as an igloo or playhouse. If children’s use of the structure becomes an issue, the structure shall be removed from the playground. Close supervision is required to prevent children from climbing on the structure. Rated License Assessment: The program is due for a renewal of Rated License in May 2028. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. nineIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 15 Completed Date: 10/15/2025 Age: From 3 To 4 Total Minutes: 147 Time In: 09:33 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Today, Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center license issued on 5/23/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance with the Rated License Assessment visit was conducted on 4/24/25. The last fire drill was practiced on 9/29/25. The last lockdown drill was practiced on 9/12/25. The last playground inspection was documented on 9/22/25. The last fire inspection was approved on 9/24/25. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint testing was marked complete. Asbestos testing is waiting for one-site visit result. Upon arrival, I announced my presence and the purpose of the visit. A total of fifteen (15) children, three (3) to four (4) years of age, were present with two (2) staff members. The children engaged in various activities and materials, including art with crayons, building with Legos, small wood pieces, dress up clothes, blocks and their accessories, magnetic letters, etc. Both staff members actively engaged in conversations with the children throughout the visit. Some challenging behaviors were observed during the visit, including refusal to clean up and throwing tantrums upon clean up time. The staff members worked collaboratively and calmly addressed each situation. No children are on medications currently. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid certificates. Both members had valid qualification letters and CPR/First Aid certificates in their files. The playground was monitored. During the observation, a group of four (4) children and three (3) adults, who were not Head Start staff, were present on the playground. According to an interview with one (1) of the adults, they and the children were part of a preschool program operated by Buncombe County Schools. Their classroom was located next to the Head Start classroom and operated for three (3) hours each day. According to an interview with a staff member from the Head Start program, the Buncombe County Schools preschool staff and children leave the playground when the Head Start program goes outside. An igloo/dome structure was observed on the playground. According to the Buncombe County Schools staff member, the structure had been brought onto the playground by their program, not by the Head Start classroom. The critical height of the structure is approximately forty-seven (47) inches. All the identification stickers were peeled or scraped on the structure to determine its American Society for Testing and Materials (ASTM) safety certification and product specifications. The children were observed on the playground. According to a staff member, the dome structure was brought in today; it was the first time the children had seen it. I discussed the use of the dome structure with the Head Start staff members. Lunch was served during the visit. Today, turkey/ham cheese sandwich, slices peaches, tater tots, and milk were served. Items were accurately listed on the menu. Supervision during lunch was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to monitoring tool not completed yet. No children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The license posted in the classroom was a four-star center license issued on 2/25/23. A five-star center license was issued on 5/23/25, but it was not posted. G.S. 110-99(a1) 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. A can of Clorox disinfecting/sanitizing spray was on the top shelf in a cabinet in the bathroom. The key to the cabinet had been left in the lock. .2820(b) Technical assistance was provided as follows: 102: license Current license must be posted in a prominent place in the classroom. You were issued with a new five-star license in May 2025. Please contact Mr. Wolff and locate the license and post it in the classroom. If you cannot locate the license, please notify me at kaoru.eddins@dhhs.nc.gov or 828. 556.9013. § 110 99. Possession and display of license. Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 840: hazardous products Any products in aerosol cans must be stored in a locked storage. The key to the storage must be maintained out of the lock. If the key is in the lock, the storage is not considered locked. This was corrected during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Igloo/dome climber: I discussed the use of the dome structure with the Head Start staff members. Due to safety concerns and the lack of appropriate fall zones, the structure shall not be used as a climber. However, it may be used as an igloo or playhouse. If children’s use of the structure becomes an issue, the structure shall be removed from the playground. Close supervision is required to prevent children from climbing on the structure. Rated License Assessment: The program is due for a renewal of Rated License in May 2028. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. nineIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .3222 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 15 Completed Date: 10/15/2025 Age: From 3 To 4 Total Minutes: 147 Time In: 09:33 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Today, Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center license issued on 5/23/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance with the Rated License Assessment visit was conducted on 4/24/25. The last fire drill was practiced on 9/29/25. The last lockdown drill was practiced on 9/12/25. The last playground inspection was documented on 9/22/25. The last fire inspection was approved on 9/24/25. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint testing was marked complete. Asbestos testing is waiting for one-site visit result. Upon arrival, I announced my presence and the purpose of the visit. A total of fifteen (15) children, three (3) to four (4) years of age, were present with two (2) staff members. The children engaged in various activities and materials, including art with crayons, building with Legos, small wood pieces, dress up clothes, blocks and their accessories, magnetic letters, etc. Both staff members actively engaged in conversations with the children throughout the visit. Some challenging behaviors were observed during the visit, including refusal to clean up and throwing tantrums upon clean up time. The staff members worked collaboratively and calmly addressed each situation. No children are on medications currently. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid certificates. Both members had valid qualification letters and CPR/First Aid certificates in their files. The playground was monitored. During the observation, a group of four (4) children and three (3) adults, who were not Head Start staff, were present on the playground. According to an interview with one (1) of the adults, they and the children were part of a preschool program operated by Buncombe County Schools. Their classroom was located next to the Head Start classroom and operated for three (3) hours each day. According to an interview with a staff member from the Head Start program, the Buncombe County Schools preschool staff and children leave the playground when the Head Start program goes outside. An igloo/dome structure was observed on the playground. According to the Buncombe County Schools staff member, the structure had been brought onto the playground by their program, not by the Head Start classroom. The critical height of the structure is approximately forty-seven (47) inches. All the identification stickers were peeled or scraped on the structure to determine its American Society for Testing and Materials (ASTM) safety certification and product specifications. The children were observed on the playground. According to a staff member, the dome structure was brought in today; it was the first time the children had seen it. I discussed the use of the dome structure with the Head Start staff members. Lunch was served during the visit. Today, turkey/ham cheese sandwich, slices peaches, tater tots, and milk were served. Items were accurately listed on the menu. Supervision during lunch was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to monitoring tool not completed yet. No children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The license posted in the classroom was a four-star center license issued on 2/25/23. A five-star center license was issued on 5/23/25, but it was not posted. G.S. 110-99(a1) 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. A can of Clorox disinfecting/sanitizing spray was on the top shelf in a cabinet in the bathroom. The key to the cabinet had been left in the lock. .2820(b) Technical assistance was provided as follows: 102: license Current license must be posted in a prominent place in the classroom. You were issued with a new five-star license in May 2025. Please contact Mr. Wolff and locate the license and post it in the classroom. If you cannot locate the license, please notify me at kaoru.eddins@dhhs.nc.gov or 828. 556.9013. § 110 99. Possession and display of license. Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 840: hazardous products Any products in aerosol cans must be stored in a locked storage. The key to the storage must be maintained out of the lock. If the key is in the lock, the storage is not considered locked. This was corrected during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Igloo/dome climber: I discussed the use of the dome structure with the Head Start staff members. Due to safety concerns and the lack of appropriate fall zones, the structure shall not be used as a climber. However, it may be used as an igloo or playhouse. If children’s use of the structure becomes an issue, the structure shall be removed from the playground. Close supervision is required to prevent children from climbing on the structure. Rated License Assessment: The program is due for a renewal of Rated License in May 2028. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. nineIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-99 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 15 Completed Date: 10/15/2025 Age: From 3 To 4 Total Minutes: 147 Time In: 09:33 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Today, Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center license issued on 5/23/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance with the Rated License Assessment visit was conducted on 4/24/25. The last fire drill was practiced on 9/29/25. The last lockdown drill was practiced on 9/12/25. The last playground inspection was documented on 9/22/25. The last fire inspection was approved on 9/24/25. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint testing was marked complete. Asbestos testing is waiting for one-site visit result. Upon arrival, I announced my presence and the purpose of the visit. A total of fifteen (15) children, three (3) to four (4) years of age, were present with two (2) staff members. The children engaged in various activities and materials, including art with crayons, building with Legos, small wood pieces, dress up clothes, blocks and their accessories, magnetic letters, etc. Both staff members actively engaged in conversations with the children throughout the visit. Some challenging behaviors were observed during the visit, including refusal to clean up and throwing tantrums upon clean up time. The staff members worked collaboratively and calmly addressed each situation. No children are on medications currently. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid certificates. Both members had valid qualification letters and CPR/First Aid certificates in their files. The playground was monitored. During the observation, a group of four (4) children and three (3) adults, who were not Head Start staff, were present on the playground. According to an interview with one (1) of the adults, they and the children were part of a preschool program operated by Buncombe County Schools. Their classroom was located next to the Head Start classroom and operated for three (3) hours each day. According to an interview with a staff member from the Head Start program, the Buncombe County Schools preschool staff and children leave the playground when the Head Start program goes outside. An igloo/dome structure was observed on the playground. According to the Buncombe County Schools staff member, the structure had been brought onto the playground by their program, not by the Head Start classroom. The critical height of the structure is approximately forty-seven (47) inches. All the identification stickers were peeled or scraped on the structure to determine its American Society for Testing and Materials (ASTM) safety certification and product specifications. The children were observed on the playground. According to a staff member, the dome structure was brought in today; it was the first time the children had seen it. I discussed the use of the dome structure with the Head Start staff members. Lunch was served during the visit. Today, turkey/ham cheese sandwich, slices peaches, tater tots, and milk were served. Items were accurately listed on the menu. Supervision during lunch was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to monitoring tool not completed yet. No children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The license posted in the classroom was a four-star center license issued on 2/25/23. A five-star center license was issued on 5/23/25, but it was not posted. G.S. 110-99(a1) 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. A can of Clorox disinfecting/sanitizing spray was on the top shelf in a cabinet in the bathroom. The key to the cabinet had been left in the lock. .2820(b) Technical assistance was provided as follows: 102: license Current license must be posted in a prominent place in the classroom. You were issued with a new five-star license in May 2025. Please contact Mr. Wolff and locate the license and post it in the classroom. If you cannot locate the license, please notify me at kaoru.eddins@dhhs.nc.gov or 828. 556.9013. § 110 99. Possession and display of license. Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 840: hazardous products Any products in aerosol cans must be stored in a locked storage. The key to the storage must be maintained out of the lock. If the key is in the lock, the storage is not considered locked. This was corrected during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Igloo/dome climber: I discussed the use of the dome structure with the Head Start staff members. Due to safety concerns and the lack of appropriate fall zones, the structure shall not be used as a climber. However, it may be used as an igloo or playhouse. If children’s use of the structure becomes an issue, the structure shall be removed from the playground. Close supervision is required to prevent children from climbing on the structure. Rated License Assessment: The program is due for a renewal of Rated License in May 2028. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. nineIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 10/15/2025 Number Present: 15 Completed Date: 10/15/2025 Age: From 3 To 4 Total Minutes: 147 Time In: 09:33 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a routine unannounced visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Today, Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two (92) percent as of today prior to this visit. Permit type – five-star center license issued on 5/23/25. Special Services/Restrictions – daytime care, meets enhanced space and reduced ratios. The last annual compliance with the Rated License Assessment visit was conducted on 4/24/25. The last fire drill was practiced on 9/29/25. The last lockdown drill was practiced on 9/12/25. The last playground inspection was documented on 9/22/25. The last fire inspection was approved on 9/24/25. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint testing was marked complete. Asbestos testing is waiting for one-site visit result. Upon arrival, I announced my presence and the purpose of the visit. A total of fifteen (15) children, three (3) to four (4) years of age, were present with two (2) staff members. The children engaged in various activities and materials, including art with crayons, building with Legos, small wood pieces, dress up clothes, blocks and their accessories, magnetic letters, etc. Both staff members actively engaged in conversations with the children throughout the visit. Some challenging behaviors were observed during the visit, including refusal to clean up and throwing tantrums upon clean up time. The staff members worked collaboratively and calmly addressed each situation. No children are on medications currently. Two (2) existing staff files were monitored for criminal background letters and CPR/First Aid certificates. Both members had valid qualification letters and CPR/First Aid certificates in their files. The playground was monitored. During the observation, a group of four (4) children and three (3) adults, who were not Head Start staff, were present on the playground. According to an interview with one (1) of the adults, they and the children were part of a preschool program operated by Buncombe County Schools. Their classroom was located next to the Head Start classroom and operated for three (3) hours each day. According to an interview with a staff member from the Head Start program, the Buncombe County Schools preschool staff and children leave the playground when the Head Start program goes outside. An igloo/dome structure was observed on the playground. According to the Buncombe County Schools staff member, the structure had been brought onto the playground by their program, not by the Head Start classroom. The critical height of the structure is approximately forty-seven (47) inches. All the identification stickers were peeled or scraped on the structure to determine its American Society for Testing and Materials (ASTM) safety certification and product specifications. The children were observed on the playground. According to a staff member, the dome structure was brought in today; it was the first time the children had seen it. I discussed the use of the dome structure with the Head Start staff members. Lunch was served during the visit. Today, turkey/ham cheese sandwich, slices peaches, tater tots, and milk were served. Items were accurately listed on the menu. Supervision during lunch was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today due to monitoring tool not completed yet. No children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 102 The license was not posted in a prominent place at all times. The license posted in the classroom was a four-star center license issued on 2/25/23. A five-star center license was issued on 5/23/25, but it was not posted. G.S. 110-99(a1) 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. A can of Clorox disinfecting/sanitizing spray was on the top shelf in a cabinet in the bathroom. The key to the cabinet had been left in the lock. .2820(b) Technical assistance was provided as follows: 102: license Current license must be posted in a prominent place in the classroom. You were issued with a new five-star license in May 2025. Please contact Mr. Wolff and locate the license and post it in the classroom. If you cannot locate the license, please notify me at kaoru.eddins@dhhs.nc.gov or 828. 556.9013. § 110 99. Possession and display of license. Each child care facility shall display its current license in a prominent place at all times so that the public may be on notice that the facility is licensed and may observe any rating which may appear on the license. Any license issued to a child care facility under this Article shall remain the property of the State and may be removed by persons employed or designated by the Secretary in the event that the license is revoked or suspended, or in the event that the rating is changed. 840: hazardous products Any products in aerosol cans must be stored in a locked storage. The key to the storage must be maintained out of the lock. If the key is in the lock, the storage is not considered locked. This was corrected during the visit. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 10/29/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Igloo/dome climber: I discussed the use of the dome structure with the Head Start staff members. Due to safety concerns and the lack of appropriate fall zones, the structure shall not be used as a climber. However, it may be used as an igloo or playhouse. If children’s use of the structure becomes an issue, the structure shall be removed from the playground. Close supervision is required to prevent children from climbing on the structure. Rated License Assessment: The program is due for a renewal of Rated License in May 2028. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. nineIt is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 4 To 5 Total Minutes: 316 Time In: 08:59 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Shawn Wolffe, Administrator. Today, Ms. Hambrook assisted. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 4/21/25. Permit type – Four-start center license issued on 1/29/25. Special Services/Restrictions – daytime care, meet enhanced space and reduced ratios. The last annual compliance visit was conducted on 5/2/24. This site is approved for NC Pre-K. The last fire drill was practiced on 3/31/25. The last shelter-in-place drill was practiced on 1/31/25. The last playground inspection was documented on 2/24/25. The last fire inspection was approved on 11/12/24. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint – this site is exempt from the lead-based paint assessment requirements based on the record listed on the Clearn Water for Carolina Kids website. No record was found for asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. There were fourteen (14) children, four-to-five years of age, present with three (3) staff members. Thirteen (13) children participated in group time while one (1) child remained at the table and finished breakfast. One (1) staff member sat at a different table and had his/her breakfast while supervising the child. He/she had a bag of potato chips and a chicken biscuit. Children were served with a chicken biscuit, applesauce and milk. The items were accurately listed on the menu. The refrigerator temperature was forty-six (46) degrees at 9:32 am. I waited for approximately an hour to recheck the temperature, but it was still forty-six (46) degrees. After group time, the children engaged in free play with various materials, such as large Duplo blocks, a large frog puppet, magnetic tiles, number puzzles, dress up clothes, other housekeeping materials and painting. One (1) staff member stationed at the tables and supervised children’s painting activity, while the other staff members moved about, interacted and supervised children. The staff members actively engaged with children, asking open-ended questions, embedding math concepts and literacy skills. One (1) occupational therapist visited the classroom, supervised and interacted with one (1) child during the visit. This staff member was not counted in ratio. Staff interactions were observed. A staff member directed one (1) of the children to clean literacy material. In order to do so, the staff member led him/her by pulling the child by the wrist. This was not a forceful pull. When the child dropped to the floor, the staff member attempted to pull him/her up by the wrist. When the child did not get up, the staff member released the child’s wrist. There was an occasion when a child put him/herself in the box for a large puppet. To remove this child from the box, a staff member picked him/her up by the upper arm. There was another occasion when another staff member picked the same child up by the upper arm. During free play, one (1) staff member directed different children to use the bathroom before going to the playground. The staff member instructed two (2) children to use the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom once they were outside. This staff member also made comments such as, “You don’t want me to put you in the (area),” to a child. On the playground, the same staff member raised yelled at a group of children to leave the area who gathered around a child who was crying. No safety hazards were observed on the playground. Two (1) medication – one (1) over-the-counter and one (1) prescription were maintained at this facility. Storage, required documentation were in compliance. Four (4) children’s files were monitored. Some of the medical documents were maintained electronically in Child Plus. Two (2) staff members’ files were monitored. Please see the attached documentation for the details of Staff and Training Worksheet review. The application for the Rated License reassessment was submitted by Mr. Wolffe via email on April 15, 2025. 10A NCAC 09 .2806: The lesson plan was not posted and dated for this week. The lesson plan was created online. However, Ms. Hambrook could not print it during the visit due to scheduled maintenance of the website. Social/emotional approaches to learning, language and communication, cognitive development and health and physical developments were all included in the activity plan for April 7th through April 11th, 2025. Per posted schedule, free play time is scheduled from 9:20 am – 10:20 am, outdoor time are from 10:00 am to 11:25 am and group time is 9:00 am – 9:20 am daily. Times and activities were developmentally appropriate for the children in care. The program does not provide transportation. The buses for Community Action Opportunities were monitored on 6/5/24. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. NC Pre-K site monitoring is not completed for 2024-2025 school year due to the effects of tropical storm Helene. Two (2) children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperatures at 9:32 am was forty-six (46) degrees. I re-checked the temperature approximately an hour later, and it was still forty-six (46) degrees. 15A NCAC 18A .2806(j)(2) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed and dated 2/24/25. .0605(q) 1043 All staff records, except financial records, were not made available for review. Due to technical issues, the current lesson plans, the health questionnaire and emergency information form for staff member hired on 5/30/23 and a child's immunization record were not available for review. G.S. 110-91( 9) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. At another occasion, I observed one (1) staff member directing two (2) children to the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom when they are on the playground. .1803(a)(9) 9995 A violation was found for which there is no item number. A lead teacher did not submit his/her education within six (6) months of employment to verify his/her lead teacher qualification. This staff member submitted his/her transcript and received a letter on 4/23/25. 9996 A violation was found for which there is no item number. Three (3) ants were crawling on the counter top during the visit. Technical assistance was provided as follows: 601: Refrigerator temperature Refrigerator temperature must be maintained at forty-five (45) degrees or lower. During the visit, I checked the temperature of the refrigerator twice. Both times, the reading was forty-six (46) degrees. Please lower the temperature and maintain the correct temperature for the health and safety of the children and staff members. Refer to 15A NCAC 09 .2806(j)(2). 859: Playground Inspection The playground inspection must be conducted monthly by the trained staff members. The most recent playground inspection was conducted on 2/24/25. Please inspect the playground at the earliest convenience possible and fill out the inspection form for March 2025. On the inspection form, please state that the inspection was for March but conducted on XX/XX/XXXX (date). Refer to 10A NCAC 09 .0605(q). 1876: Inappropriate discipline During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. Staff members shall guide children to do the right thing by asking open-ended questions and frequently discuss better choice-making. Young children are impulsive and do not always make the right decision. Focus on prevention by redirection and positive reinforcement. Staff members shall not prevent by making threats. You can get more tips of developmental appropriate discipline at National Resource Center at https://nrckids.org/. Refer to 10A NCAC 09 .1803(a)(4-6). 9995: Lead teacher qualification Lead Teacher qualification for Ms. Hambrook was issued on 4/23/25. On the compliance letter, please state how you will maintain compliance moving forward. An individual assuming lead teacher must submit information that verifies NC Credential or its equivalency within six (6) months. Please submit your official transcript to DCDEE WORKS and apply for a lead teacher position on Ms. Hambrook’s WORKS account. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c)Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1)a copy of the credential certificate; (2)a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3)a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4)documentation of enrollment in credential coursework. 9996: Insects: Please keep licensed space free of rodents vermin and insects. Three (3) ants were observed crawling on the counter top during the visit. If you place traps, make sure that it is not accessible to the children. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Due to the effects of tropical storm Helene, additional time is permitted to meet the compliance for the following item: 1898: Health and Safety training Staff member hired on 3/25/24 did not complete "Prevention of sudden infant death syndrome and use of safe sleeping practices" within the first year of employment. Please have the staff member complete this training as soon as possible. If there is a valid ITS/SIDS certificate in file, this training is not required to be completed. Achieving Compliance: A follow-up visit will be conducted to verify compliance of discipline requirements. Due to the nature of violation, you may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: How to pick up children: During the visit, I witnessed two (2) staff members pick up a child by the upper arms. Additionally, one (1) staff member held a child’s wrist while the child dropped to the ground. These actions can possibly cause dislocation of joints as well as nursemaid elbow. To protect the children, it is strongly recommended to pick up the child by torso. Hold hands gently to lead children and let the hands go when they fall to the ground. Rated License Assessment: All violations cited today must be corrected before proceeding with the Rated License Assessment including a follow-up visit. Program Standard: Program standards will be evaluated based on the program restriction as well as ERS scores. Avery’s Creek Head Start received ECERS-R on 1/5/23 and scored 5.03. This score is valid for three (3) years. The program chose to use this score to renew the Rated License Assessment. The program restriction includes enhanced space and reduced ratios. Additionally, this program met 10A NCAC 09 .2806(a). Quality Point: On the application, employee benefit was listed. Initial email asking additional information for this section was sent on April, 21, 2025 but has not been answered yet. I will reach out to Mr. Wolffe via email again. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0605 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 4 To 5 Total Minutes: 316 Time In: 08:59 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Shawn Wolffe, Administrator. Today, Ms. Hambrook assisted. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 4/21/25. Permit type – Four-start center license issued on 1/29/25. Special Services/Restrictions – daytime care, meet enhanced space and reduced ratios. The last annual compliance visit was conducted on 5/2/24. This site is approved for NC Pre-K. The last fire drill was practiced on 3/31/25. The last shelter-in-place drill was practiced on 1/31/25. The last playground inspection was documented on 2/24/25. The last fire inspection was approved on 11/12/24. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint – this site is exempt from the lead-based paint assessment requirements based on the record listed on the Clearn Water for Carolina Kids website. No record was found for asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. There were fourteen (14) children, four-to-five years of age, present with three (3) staff members. Thirteen (13) children participated in group time while one (1) child remained at the table and finished breakfast. One (1) staff member sat at a different table and had his/her breakfast while supervising the child. He/she had a bag of potato chips and a chicken biscuit. Children were served with a chicken biscuit, applesauce and milk. The items were accurately listed on the menu. The refrigerator temperature was forty-six (46) degrees at 9:32 am. I waited for approximately an hour to recheck the temperature, but it was still forty-six (46) degrees. After group time, the children engaged in free play with various materials, such as large Duplo blocks, a large frog puppet, magnetic tiles, number puzzles, dress up clothes, other housekeeping materials and painting. One (1) staff member stationed at the tables and supervised children’s painting activity, while the other staff members moved about, interacted and supervised children. The staff members actively engaged with children, asking open-ended questions, embedding math concepts and literacy skills. One (1) occupational therapist visited the classroom, supervised and interacted with one (1) child during the visit. This staff member was not counted in ratio. Staff interactions were observed. A staff member directed one (1) of the children to clean literacy material. In order to do so, the staff member led him/her by pulling the child by the wrist. This was not a forceful pull. When the child dropped to the floor, the staff member attempted to pull him/her up by the wrist. When the child did not get up, the staff member released the child’s wrist. There was an occasion when a child put him/herself in the box for a large puppet. To remove this child from the box, a staff member picked him/her up by the upper arm. There was another occasion when another staff member picked the same child up by the upper arm. During free play, one (1) staff member directed different children to use the bathroom before going to the playground. The staff member instructed two (2) children to use the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom once they were outside. This staff member also made comments such as, “You don’t want me to put you in the (area),” to a child. On the playground, the same staff member raised yelled at a group of children to leave the area who gathered around a child who was crying. No safety hazards were observed on the playground. Two (1) medication – one (1) over-the-counter and one (1) prescription were maintained at this facility. Storage, required documentation were in compliance. Four (4) children’s files were monitored. Some of the medical documents were maintained electronically in Child Plus. Two (2) staff members’ files were monitored. Please see the attached documentation for the details of Staff and Training Worksheet review. The application for the Rated License reassessment was submitted by Mr. Wolffe via email on April 15, 2025. 10A NCAC 09 .2806: The lesson plan was not posted and dated for this week. The lesson plan was created online. However, Ms. Hambrook could not print it during the visit due to scheduled maintenance of the website. Social/emotional approaches to learning, language and communication, cognitive development and health and physical developments were all included in the activity plan for April 7th through April 11th, 2025. Per posted schedule, free play time is scheduled from 9:20 am – 10:20 am, outdoor time are from 10:00 am to 11:25 am and group time is 9:00 am – 9:20 am daily. Times and activities were developmentally appropriate for the children in care. The program does not provide transportation. The buses for Community Action Opportunities were monitored on 6/5/24. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. NC Pre-K site monitoring is not completed for 2024-2025 school year due to the effects of tropical storm Helene. Two (2) children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperatures at 9:32 am was forty-six (46) degrees. I re-checked the temperature approximately an hour later, and it was still forty-six (46) degrees. 15A NCAC 18A .2806(j)(2) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed and dated 2/24/25. .0605(q) 1043 All staff records, except financial records, were not made available for review. Due to technical issues, the current lesson plans, the health questionnaire and emergency information form for staff member hired on 5/30/23 and a child's immunization record were not available for review. G.S. 110-91( 9) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. At another occasion, I observed one (1) staff member directing two (2) children to the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom when they are on the playground. .1803(a)(9) 9995 A violation was found for which there is no item number. A lead teacher did not submit his/her education within six (6) months of employment to verify his/her lead teacher qualification. This staff member submitted his/her transcript and received a letter on 4/23/25. 9996 A violation was found for which there is no item number. Three (3) ants were crawling on the counter top during the visit. Technical assistance was provided as follows: 601: Refrigerator temperature Refrigerator temperature must be maintained at forty-five (45) degrees or lower. During the visit, I checked the temperature of the refrigerator twice. Both times, the reading was forty-six (46) degrees. Please lower the temperature and maintain the correct temperature for the health and safety of the children and staff members. Refer to 15A NCAC 09 .2806(j)(2). 859: Playground Inspection The playground inspection must be conducted monthly by the trained staff members. The most recent playground inspection was conducted on 2/24/25. Please inspect the playground at the earliest convenience possible and fill out the inspection form for March 2025. On the inspection form, please state that the inspection was for March but conducted on XX/XX/XXXX (date). Refer to 10A NCAC 09 .0605(q). 1876: Inappropriate discipline During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. Staff members shall guide children to do the right thing by asking open-ended questions and frequently discuss better choice-making. Young children are impulsive and do not always make the right decision. Focus on prevention by redirection and positive reinforcement. Staff members shall not prevent by making threats. You can get more tips of developmental appropriate discipline at National Resource Center at https://nrckids.org/. Refer to 10A NCAC 09 .1803(a)(4-6). 9995: Lead teacher qualification Lead Teacher qualification for Ms. Hambrook was issued on 4/23/25. On the compliance letter, please state how you will maintain compliance moving forward. An individual assuming lead teacher must submit information that verifies NC Credential or its equivalency within six (6) months. Please submit your official transcript to DCDEE WORKS and apply for a lead teacher position on Ms. Hambrook’s WORKS account. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c)Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1)a copy of the credential certificate; (2)a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3)a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4)documentation of enrollment in credential coursework. 9996: Insects: Please keep licensed space free of rodents vermin and insects. Three (3) ants were observed crawling on the counter top during the visit. If you place traps, make sure that it is not accessible to the children. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Due to the effects of tropical storm Helene, additional time is permitted to meet the compliance for the following item: 1898: Health and Safety training Staff member hired on 3/25/24 did not complete "Prevention of sudden infant death syndrome and use of safe sleeping practices" within the first year of employment. Please have the staff member complete this training as soon as possible. If there is a valid ITS/SIDS certificate in file, this training is not required to be completed. Achieving Compliance: A follow-up visit will be conducted to verify compliance of discipline requirements. Due to the nature of violation, you may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: How to pick up children: During the visit, I witnessed two (2) staff members pick up a child by the upper arms. Additionally, one (1) staff member held a child’s wrist while the child dropped to the ground. These actions can possibly cause dislocation of joints as well as nursemaid elbow. To protect the children, it is strongly recommended to pick up the child by torso. Hold hands gently to lead children and let the hands go when they fall to the ground. Rated License Assessment: All violations cited today must be corrected before proceeding with the Rated License Assessment including a follow-up visit. Program Standard: Program standards will be evaluated based on the program restriction as well as ERS scores. Avery’s Creek Head Start received ECERS-R on 1/5/23 and scored 5.03. This score is valid for three (3) years. The program chose to use this score to renew the Rated License Assessment. The program restriction includes enhanced space and reduced ratios. Additionally, this program met 10A NCAC 09 .2806(a). Quality Point: On the application, employee benefit was listed. Initial email asking additional information for this section was sent on April, 21, 2025 but has not been answered yet. I will reach out to Mr. Wolffe via email again. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0703 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 4 To 5 Total Minutes: 316 Time In: 08:59 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Shawn Wolffe, Administrator. Today, Ms. Hambrook assisted. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 4/21/25. Permit type – Four-start center license issued on 1/29/25. Special Services/Restrictions – daytime care, meet enhanced space and reduced ratios. The last annual compliance visit was conducted on 5/2/24. This site is approved for NC Pre-K. The last fire drill was practiced on 3/31/25. The last shelter-in-place drill was practiced on 1/31/25. The last playground inspection was documented on 2/24/25. The last fire inspection was approved on 11/12/24. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint – this site is exempt from the lead-based paint assessment requirements based on the record listed on the Clearn Water for Carolina Kids website. No record was found for asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. There were fourteen (14) children, four-to-five years of age, present with three (3) staff members. Thirteen (13) children participated in group time while one (1) child remained at the table and finished breakfast. One (1) staff member sat at a different table and had his/her breakfast while supervising the child. He/she had a bag of potato chips and a chicken biscuit. Children were served with a chicken biscuit, applesauce and milk. The items were accurately listed on the menu. The refrigerator temperature was forty-six (46) degrees at 9:32 am. I waited for approximately an hour to recheck the temperature, but it was still forty-six (46) degrees. After group time, the children engaged in free play with various materials, such as large Duplo blocks, a large frog puppet, magnetic tiles, number puzzles, dress up clothes, other housekeeping materials and painting. One (1) staff member stationed at the tables and supervised children’s painting activity, while the other staff members moved about, interacted and supervised children. The staff members actively engaged with children, asking open-ended questions, embedding math concepts and literacy skills. One (1) occupational therapist visited the classroom, supervised and interacted with one (1) child during the visit. This staff member was not counted in ratio. Staff interactions were observed. A staff member directed one (1) of the children to clean literacy material. In order to do so, the staff member led him/her by pulling the child by the wrist. This was not a forceful pull. When the child dropped to the floor, the staff member attempted to pull him/her up by the wrist. When the child did not get up, the staff member released the child’s wrist. There was an occasion when a child put him/herself in the box for a large puppet. To remove this child from the box, a staff member picked him/her up by the upper arm. There was another occasion when another staff member picked the same child up by the upper arm. During free play, one (1) staff member directed different children to use the bathroom before going to the playground. The staff member instructed two (2) children to use the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom once they were outside. This staff member also made comments such as, “You don’t want me to put you in the (area),” to a child. On the playground, the same staff member raised yelled at a group of children to leave the area who gathered around a child who was crying. No safety hazards were observed on the playground. Two (1) medication – one (1) over-the-counter and one (1) prescription were maintained at this facility. Storage, required documentation were in compliance. Four (4) children’s files were monitored. Some of the medical documents were maintained electronically in Child Plus. Two (2) staff members’ files were monitored. Please see the attached documentation for the details of Staff and Training Worksheet review. The application for the Rated License reassessment was submitted by Mr. Wolffe via email on April 15, 2025. 10A NCAC 09 .2806: The lesson plan was not posted and dated for this week. The lesson plan was created online. However, Ms. Hambrook could not print it during the visit due to scheduled maintenance of the website. Social/emotional approaches to learning, language and communication, cognitive development and health and physical developments were all included in the activity plan for April 7th through April 11th, 2025. Per posted schedule, free play time is scheduled from 9:20 am – 10:20 am, outdoor time are from 10:00 am to 11:25 am and group time is 9:00 am – 9:20 am daily. Times and activities were developmentally appropriate for the children in care. The program does not provide transportation. The buses for Community Action Opportunities were monitored on 6/5/24. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. NC Pre-K site monitoring is not completed for 2024-2025 school year due to the effects of tropical storm Helene. Two (2) children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperatures at 9:32 am was forty-six (46) degrees. I re-checked the temperature approximately an hour later, and it was still forty-six (46) degrees. 15A NCAC 18A .2806(j)(2) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed and dated 2/24/25. .0605(q) 1043 All staff records, except financial records, were not made available for review. Due to technical issues, the current lesson plans, the health questionnaire and emergency information form for staff member hired on 5/30/23 and a child's immunization record were not available for review. G.S. 110-91( 9) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. At another occasion, I observed one (1) staff member directing two (2) children to the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom when they are on the playground. .1803(a)(9) 9995 A violation was found for which there is no item number. A lead teacher did not submit his/her education within six (6) months of employment to verify his/her lead teacher qualification. This staff member submitted his/her transcript and received a letter on 4/23/25. 9996 A violation was found for which there is no item number. Three (3) ants were crawling on the counter top during the visit. Technical assistance was provided as follows: 601: Refrigerator temperature Refrigerator temperature must be maintained at forty-five (45) degrees or lower. During the visit, I checked the temperature of the refrigerator twice. Both times, the reading was forty-six (46) degrees. Please lower the temperature and maintain the correct temperature for the health and safety of the children and staff members. Refer to 15A NCAC 09 .2806(j)(2). 859: Playground Inspection The playground inspection must be conducted monthly by the trained staff members. The most recent playground inspection was conducted on 2/24/25. Please inspect the playground at the earliest convenience possible and fill out the inspection form for March 2025. On the inspection form, please state that the inspection was for March but conducted on XX/XX/XXXX (date). Refer to 10A NCAC 09 .0605(q). 1876: Inappropriate discipline During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. Staff members shall guide children to do the right thing by asking open-ended questions and frequently discuss better choice-making. Young children are impulsive and do not always make the right decision. Focus on prevention by redirection and positive reinforcement. Staff members shall not prevent by making threats. You can get more tips of developmental appropriate discipline at National Resource Center at https://nrckids.org/. Refer to 10A NCAC 09 .1803(a)(4-6). 9995: Lead teacher qualification Lead Teacher qualification for Ms. Hambrook was issued on 4/23/25. On the compliance letter, please state how you will maintain compliance moving forward. An individual assuming lead teacher must submit information that verifies NC Credential or its equivalency within six (6) months. Please submit your official transcript to DCDEE WORKS and apply for a lead teacher position on Ms. Hambrook’s WORKS account. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c)Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1)a copy of the credential certificate; (2)a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3)a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4)documentation of enrollment in credential coursework. 9996: Insects: Please keep licensed space free of rodents vermin and insects. Three (3) ants were observed crawling on the counter top during the visit. If you place traps, make sure that it is not accessible to the children. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Due to the effects of tropical storm Helene, additional time is permitted to meet the compliance for the following item: 1898: Health and Safety training Staff member hired on 3/25/24 did not complete "Prevention of sudden infant death syndrome and use of safe sleeping practices" within the first year of employment. Please have the staff member complete this training as soon as possible. If there is a valid ITS/SIDS certificate in file, this training is not required to be completed. Achieving Compliance: A follow-up visit will be conducted to verify compliance of discipline requirements. Due to the nature of violation, you may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: How to pick up children: During the visit, I witnessed two (2) staff members pick up a child by the upper arms. Additionally, one (1) staff member held a child’s wrist while the child dropped to the ground. These actions can possibly cause dislocation of joints as well as nursemaid elbow. To protect the children, it is strongly recommended to pick up the child by torso. Hold hands gently to lead children and let the hands go when they fall to the ground. Rated License Assessment: All violations cited today must be corrected before proceeding with the Rated License Assessment including a follow-up visit. Program Standard: Program standards will be evaluated based on the program restriction as well as ERS scores. Avery’s Creek Head Start received ECERS-R on 1/5/23 and scored 5.03. This score is valid for three (3) years. The program chose to use this score to renew the Rated License Assessment. The program restriction includes enhanced space and reduced ratios. Additionally, this program met 10A NCAC 09 .2806(a). Quality Point: On the application, employee benefit was listed. Initial email asking additional information for this section was sent on April, 21, 2025 but has not been answered yet. I will reach out to Mr. Wolffe via email again. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 4 To 5 Total Minutes: 316 Time In: 08:59 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Shawn Wolffe, Administrator. Today, Ms. Hambrook assisted. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 4/21/25. Permit type – Four-start center license issued on 1/29/25. Special Services/Restrictions – daytime care, meet enhanced space and reduced ratios. The last annual compliance visit was conducted on 5/2/24. This site is approved for NC Pre-K. The last fire drill was practiced on 3/31/25. The last shelter-in-place drill was practiced on 1/31/25. The last playground inspection was documented on 2/24/25. The last fire inspection was approved on 11/12/24. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint – this site is exempt from the lead-based paint assessment requirements based on the record listed on the Clearn Water for Carolina Kids website. No record was found for asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. There were fourteen (14) children, four-to-five years of age, present with three (3) staff members. Thirteen (13) children participated in group time while one (1) child remained at the table and finished breakfast. One (1) staff member sat at a different table and had his/her breakfast while supervising the child. He/she had a bag of potato chips and a chicken biscuit. Children were served with a chicken biscuit, applesauce and milk. The items were accurately listed on the menu. The refrigerator temperature was forty-six (46) degrees at 9:32 am. I waited for approximately an hour to recheck the temperature, but it was still forty-six (46) degrees. After group time, the children engaged in free play with various materials, such as large Duplo blocks, a large frog puppet, magnetic tiles, number puzzles, dress up clothes, other housekeeping materials and painting. One (1) staff member stationed at the tables and supervised children’s painting activity, while the other staff members moved about, interacted and supervised children. The staff members actively engaged with children, asking open-ended questions, embedding math concepts and literacy skills. One (1) occupational therapist visited the classroom, supervised and interacted with one (1) child during the visit. This staff member was not counted in ratio. Staff interactions were observed. A staff member directed one (1) of the children to clean literacy material. In order to do so, the staff member led him/her by pulling the child by the wrist. This was not a forceful pull. When the child dropped to the floor, the staff member attempted to pull him/her up by the wrist. When the child did not get up, the staff member released the child’s wrist. There was an occasion when a child put him/herself in the box for a large puppet. To remove this child from the box, a staff member picked him/her up by the upper arm. There was another occasion when another staff member picked the same child up by the upper arm. During free play, one (1) staff member directed different children to use the bathroom before going to the playground. The staff member instructed two (2) children to use the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom once they were outside. This staff member also made comments such as, “You don’t want me to put you in the (area),” to a child. On the playground, the same staff member raised yelled at a group of children to leave the area who gathered around a child who was crying. No safety hazards were observed on the playground. Two (1) medication – one (1) over-the-counter and one (1) prescription were maintained at this facility. Storage, required documentation were in compliance. Four (4) children’s files were monitored. Some of the medical documents were maintained electronically in Child Plus. Two (2) staff members’ files were monitored. Please see the attached documentation for the details of Staff and Training Worksheet review. The application for the Rated License reassessment was submitted by Mr. Wolffe via email on April 15, 2025. 10A NCAC 09 .2806: The lesson plan was not posted and dated for this week. The lesson plan was created online. However, Ms. Hambrook could not print it during the visit due to scheduled maintenance of the website. Social/emotional approaches to learning, language and communication, cognitive development and health and physical developments were all included in the activity plan for April 7th through April 11th, 2025. Per posted schedule, free play time is scheduled from 9:20 am – 10:20 am, outdoor time are from 10:00 am to 11:25 am and group time is 9:00 am – 9:20 am daily. Times and activities were developmentally appropriate for the children in care. The program does not provide transportation. The buses for Community Action Opportunities were monitored on 6/5/24. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. NC Pre-K site monitoring is not completed for 2024-2025 school year due to the effects of tropical storm Helene. Two (2) children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperatures at 9:32 am was forty-six (46) degrees. I re-checked the temperature approximately an hour later, and it was still forty-six (46) degrees. 15A NCAC 18A .2806(j)(2) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed and dated 2/24/25. .0605(q) 1043 All staff records, except financial records, were not made available for review. Due to technical issues, the current lesson plans, the health questionnaire and emergency information form for staff member hired on 5/30/23 and a child's immunization record were not available for review. G.S. 110-91( 9) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. At another occasion, I observed one (1) staff member directing two (2) children to the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom when they are on the playground. .1803(a)(9) 9995 A violation was found for which there is no item number. A lead teacher did not submit his/her education within six (6) months of employment to verify his/her lead teacher qualification. This staff member submitted his/her transcript and received a letter on 4/23/25. 9996 A violation was found for which there is no item number. Three (3) ants were crawling on the counter top during the visit. Technical assistance was provided as follows: 601: Refrigerator temperature Refrigerator temperature must be maintained at forty-five (45) degrees or lower. During the visit, I checked the temperature of the refrigerator twice. Both times, the reading was forty-six (46) degrees. Please lower the temperature and maintain the correct temperature for the health and safety of the children and staff members. Refer to 15A NCAC 09 .2806(j)(2). 859: Playground Inspection The playground inspection must be conducted monthly by the trained staff members. The most recent playground inspection was conducted on 2/24/25. Please inspect the playground at the earliest convenience possible and fill out the inspection form for March 2025. On the inspection form, please state that the inspection was for March but conducted on XX/XX/XXXX (date). Refer to 10A NCAC 09 .0605(q). 1876: Inappropriate discipline During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. Staff members shall guide children to do the right thing by asking open-ended questions and frequently discuss better choice-making. Young children are impulsive and do not always make the right decision. Focus on prevention by redirection and positive reinforcement. Staff members shall not prevent by making threats. You can get more tips of developmental appropriate discipline at National Resource Center at https://nrckids.org/. Refer to 10A NCAC 09 .1803(a)(4-6). 9995: Lead teacher qualification Lead Teacher qualification for Ms. Hambrook was issued on 4/23/25. On the compliance letter, please state how you will maintain compliance moving forward. An individual assuming lead teacher must submit information that verifies NC Credential or its equivalency within six (6) months. Please submit your official transcript to DCDEE WORKS and apply for a lead teacher position on Ms. Hambrook’s WORKS account. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c)Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1)a copy of the credential certificate; (2)a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3)a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4)documentation of enrollment in credential coursework. 9996: Insects: Please keep licensed space free of rodents vermin and insects. Three (3) ants were observed crawling on the counter top during the visit. If you place traps, make sure that it is not accessible to the children. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Due to the effects of tropical storm Helene, additional time is permitted to meet the compliance for the following item: 1898: Health and Safety training Staff member hired on 3/25/24 did not complete "Prevention of sudden infant death syndrome and use of safe sleeping practices" within the first year of employment. Please have the staff member complete this training as soon as possible. If there is a valid ITS/SIDS certificate in file, this training is not required to be completed. Achieving Compliance: A follow-up visit will be conducted to verify compliance of discipline requirements. Due to the nature of violation, you may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: How to pick up children: During the visit, I witnessed two (2) staff members pick up a child by the upper arms. Additionally, one (1) staff member held a child’s wrist while the child dropped to the ground. These actions can possibly cause dislocation of joints as well as nursemaid elbow. To protect the children, it is strongly recommended to pick up the child by torso. Hold hands gently to lead children and let the hands go when they fall to the ground. Rated License Assessment: All violations cited today must be corrected before proceeding with the Rated License Assessment including a follow-up visit. Program Standard: Program standards will be evaluated based on the program restriction as well as ERS scores. Avery’s Creek Head Start received ECERS-R on 1/5/23 and scored 5.03. This score is valid for three (3) years. The program chose to use this score to renew the Rated License Assessment. The program restriction includes enhanced space and reduced ratios. Additionally, this program met 10A NCAC 09 .2806(a). Quality Point: On the application, employee benefit was listed. Initial email asking additional information for this section was sent on April, 21, 2025 but has not been answered yet. I will reach out to Mr. Wolffe via email again. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 4 To 5 Total Minutes: 316 Time In: 08:59 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Shawn Wolffe, Administrator. Today, Ms. Hambrook assisted. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 4/21/25. Permit type – Four-start center license issued on 1/29/25. Special Services/Restrictions – daytime care, meet enhanced space and reduced ratios. The last annual compliance visit was conducted on 5/2/24. This site is approved for NC Pre-K. The last fire drill was practiced on 3/31/25. The last shelter-in-place drill was practiced on 1/31/25. The last playground inspection was documented on 2/24/25. The last fire inspection was approved on 11/12/24. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint – this site is exempt from the lead-based paint assessment requirements based on the record listed on the Clearn Water for Carolina Kids website. No record was found for asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. There were fourteen (14) children, four-to-five years of age, present with three (3) staff members. Thirteen (13) children participated in group time while one (1) child remained at the table and finished breakfast. One (1) staff member sat at a different table and had his/her breakfast while supervising the child. He/she had a bag of potato chips and a chicken biscuit. Children were served with a chicken biscuit, applesauce and milk. The items were accurately listed on the menu. The refrigerator temperature was forty-six (46) degrees at 9:32 am. I waited for approximately an hour to recheck the temperature, but it was still forty-six (46) degrees. After group time, the children engaged in free play with various materials, such as large Duplo blocks, a large frog puppet, magnetic tiles, number puzzles, dress up clothes, other housekeeping materials and painting. One (1) staff member stationed at the tables and supervised children’s painting activity, while the other staff members moved about, interacted and supervised children. The staff members actively engaged with children, asking open-ended questions, embedding math concepts and literacy skills. One (1) occupational therapist visited the classroom, supervised and interacted with one (1) child during the visit. This staff member was not counted in ratio. Staff interactions were observed. A staff member directed one (1) of the children to clean literacy material. In order to do so, the staff member led him/her by pulling the child by the wrist. This was not a forceful pull. When the child dropped to the floor, the staff member attempted to pull him/her up by the wrist. When the child did not get up, the staff member released the child’s wrist. There was an occasion when a child put him/herself in the box for a large puppet. To remove this child from the box, a staff member picked him/her up by the upper arm. There was another occasion when another staff member picked the same child up by the upper arm. During free play, one (1) staff member directed different children to use the bathroom before going to the playground. The staff member instructed two (2) children to use the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom once they were outside. This staff member also made comments such as, “You don’t want me to put you in the (area),” to a child. On the playground, the same staff member raised yelled at a group of children to leave the area who gathered around a child who was crying. No safety hazards were observed on the playground. Two (1) medication – one (1) over-the-counter and one (1) prescription were maintained at this facility. Storage, required documentation were in compliance. Four (4) children’s files were monitored. Some of the medical documents were maintained electronically in Child Plus. Two (2) staff members’ files were monitored. Please see the attached documentation for the details of Staff and Training Worksheet review. The application for the Rated License reassessment was submitted by Mr. Wolffe via email on April 15, 2025. 10A NCAC 09 .2806: The lesson plan was not posted and dated for this week. The lesson plan was created online. However, Ms. Hambrook could not print it during the visit due to scheduled maintenance of the website. Social/emotional approaches to learning, language and communication, cognitive development and health and physical developments were all included in the activity plan for April 7th through April 11th, 2025. Per posted schedule, free play time is scheduled from 9:20 am – 10:20 am, outdoor time are from 10:00 am to 11:25 am and group time is 9:00 am – 9:20 am daily. Times and activities were developmentally appropriate for the children in care. The program does not provide transportation. The buses for Community Action Opportunities were monitored on 6/5/24. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. NC Pre-K site monitoring is not completed for 2024-2025 school year due to the effects of tropical storm Helene. Two (2) children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperatures at 9:32 am was forty-six (46) degrees. I re-checked the temperature approximately an hour later, and it was still forty-six (46) degrees. 15A NCAC 18A .2806(j)(2) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed and dated 2/24/25. .0605(q) 1043 All staff records, except financial records, were not made available for review. Due to technical issues, the current lesson plans, the health questionnaire and emergency information form for staff member hired on 5/30/23 and a child's immunization record were not available for review. G.S. 110-91( 9) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. At another occasion, I observed one (1) staff member directing two (2) children to the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom when they are on the playground. .1803(a)(9) 9995 A violation was found for which there is no item number. A lead teacher did not submit his/her education within six (6) months of employment to verify his/her lead teacher qualification. This staff member submitted his/her transcript and received a letter on 4/23/25. 9996 A violation was found for which there is no item number. Three (3) ants were crawling on the counter top during the visit. Technical assistance was provided as follows: 601: Refrigerator temperature Refrigerator temperature must be maintained at forty-five (45) degrees or lower. During the visit, I checked the temperature of the refrigerator twice. Both times, the reading was forty-six (46) degrees. Please lower the temperature and maintain the correct temperature for the health and safety of the children and staff members. Refer to 15A NCAC 09 .2806(j)(2). 859: Playground Inspection The playground inspection must be conducted monthly by the trained staff members. The most recent playground inspection was conducted on 2/24/25. Please inspect the playground at the earliest convenience possible and fill out the inspection form for March 2025. On the inspection form, please state that the inspection was for March but conducted on XX/XX/XXXX (date). Refer to 10A NCAC 09 .0605(q). 1876: Inappropriate discipline During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. Staff members shall guide children to do the right thing by asking open-ended questions and frequently discuss better choice-making. Young children are impulsive and do not always make the right decision. Focus on prevention by redirection and positive reinforcement. Staff members shall not prevent by making threats. You can get more tips of developmental appropriate discipline at National Resource Center at https://nrckids.org/. Refer to 10A NCAC 09 .1803(a)(4-6). 9995: Lead teacher qualification Lead Teacher qualification for Ms. Hambrook was issued on 4/23/25. On the compliance letter, please state how you will maintain compliance moving forward. An individual assuming lead teacher must submit information that verifies NC Credential or its equivalency within six (6) months. Please submit your official transcript to DCDEE WORKS and apply for a lead teacher position on Ms. Hambrook’s WORKS account. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c)Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1)a copy of the credential certificate; (2)a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3)a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4)documentation of enrollment in credential coursework. 9996: Insects: Please keep licensed space free of rodents vermin and insects. Three (3) ants were observed crawling on the counter top during the visit. If you place traps, make sure that it is not accessible to the children. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Due to the effects of tropical storm Helene, additional time is permitted to meet the compliance for the following item: 1898: Health and Safety training Staff member hired on 3/25/24 did not complete "Prevention of sudden infant death syndrome and use of safe sleeping practices" within the first year of employment. Please have the staff member complete this training as soon as possible. If there is a valid ITS/SIDS certificate in file, this training is not required to be completed. Achieving Compliance: A follow-up visit will be conducted to verify compliance of discipline requirements. Due to the nature of violation, you may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: How to pick up children: During the visit, I witnessed two (2) staff members pick up a child by the upper arms. Additionally, one (1) staff member held a child’s wrist while the child dropped to the ground. These actions can possibly cause dislocation of joints as well as nursemaid elbow. To protect the children, it is strongly recommended to pick up the child by torso. Hold hands gently to lead children and let the hands go when they fall to the ground. Rated License Assessment: All violations cited today must be corrected before proceeding with the Rated License Assessment including a follow-up visit. Program Standard: Program standards will be evaluated based on the program restriction as well as ERS scores. Avery’s Creek Head Start received ECERS-R on 1/5/23 and scored 5.03. This score is valid for three (3) years. The program chose to use this score to renew the Rated License Assessment. The program restriction includes enhanced space and reduced ratios. Additionally, this program met 10A NCAC 09 .2806(a). Quality Point: On the application, employee benefit was listed. Initial email asking additional information for this section was sent on April, 21, 2025 but has not been answered yet. I will reach out to Mr. Wolffe via email again. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1803 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 4 To 5 Total Minutes: 316 Time In: 08:59 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Shawn Wolffe, Administrator. Today, Ms. Hambrook assisted. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 4/21/25. Permit type – Four-start center license issued on 1/29/25. Special Services/Restrictions – daytime care, meet enhanced space and reduced ratios. The last annual compliance visit was conducted on 5/2/24. This site is approved for NC Pre-K. The last fire drill was practiced on 3/31/25. The last shelter-in-place drill was practiced on 1/31/25. The last playground inspection was documented on 2/24/25. The last fire inspection was approved on 11/12/24. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint – this site is exempt from the lead-based paint assessment requirements based on the record listed on the Clearn Water for Carolina Kids website. No record was found for asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. There were fourteen (14) children, four-to-five years of age, present with three (3) staff members. Thirteen (13) children participated in group time while one (1) child remained at the table and finished breakfast. One (1) staff member sat at a different table and had his/her breakfast while supervising the child. He/she had a bag of potato chips and a chicken biscuit. Children were served with a chicken biscuit, applesauce and milk. The items were accurately listed on the menu. The refrigerator temperature was forty-six (46) degrees at 9:32 am. I waited for approximately an hour to recheck the temperature, but it was still forty-six (46) degrees. After group time, the children engaged in free play with various materials, such as large Duplo blocks, a large frog puppet, magnetic tiles, number puzzles, dress up clothes, other housekeeping materials and painting. One (1) staff member stationed at the tables and supervised children’s painting activity, while the other staff members moved about, interacted and supervised children. The staff members actively engaged with children, asking open-ended questions, embedding math concepts and literacy skills. One (1) occupational therapist visited the classroom, supervised and interacted with one (1) child during the visit. This staff member was not counted in ratio. Staff interactions were observed. A staff member directed one (1) of the children to clean literacy material. In order to do so, the staff member led him/her by pulling the child by the wrist. This was not a forceful pull. When the child dropped to the floor, the staff member attempted to pull him/her up by the wrist. When the child did not get up, the staff member released the child’s wrist. There was an occasion when a child put him/herself in the box for a large puppet. To remove this child from the box, a staff member picked him/her up by the upper arm. There was another occasion when another staff member picked the same child up by the upper arm. During free play, one (1) staff member directed different children to use the bathroom before going to the playground. The staff member instructed two (2) children to use the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom once they were outside. This staff member also made comments such as, “You don’t want me to put you in the (area),” to a child. On the playground, the same staff member raised yelled at a group of children to leave the area who gathered around a child who was crying. No safety hazards were observed on the playground. Two (1) medication – one (1) over-the-counter and one (1) prescription were maintained at this facility. Storage, required documentation were in compliance. Four (4) children’s files were monitored. Some of the medical documents were maintained electronically in Child Plus. Two (2) staff members’ files were monitored. Please see the attached documentation for the details of Staff and Training Worksheet review. The application for the Rated License reassessment was submitted by Mr. Wolffe via email on April 15, 2025. 10A NCAC 09 .2806: The lesson plan was not posted and dated for this week. The lesson plan was created online. However, Ms. Hambrook could not print it during the visit due to scheduled maintenance of the website. Social/emotional approaches to learning, language and communication, cognitive development and health and physical developments were all included in the activity plan for April 7th through April 11th, 2025. Per posted schedule, free play time is scheduled from 9:20 am – 10:20 am, outdoor time are from 10:00 am to 11:25 am and group time is 9:00 am – 9:20 am daily. Times and activities were developmentally appropriate for the children in care. The program does not provide transportation. The buses for Community Action Opportunities were monitored on 6/5/24. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. NC Pre-K site monitoring is not completed for 2024-2025 school year due to the effects of tropical storm Helene. Two (2) children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperatures at 9:32 am was forty-six (46) degrees. I re-checked the temperature approximately an hour later, and it was still forty-six (46) degrees. 15A NCAC 18A .2806(j)(2) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed and dated 2/24/25. .0605(q) 1043 All staff records, except financial records, were not made available for review. Due to technical issues, the current lesson plans, the health questionnaire and emergency information form for staff member hired on 5/30/23 and a child's immunization record were not available for review. G.S. 110-91( 9) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. At another occasion, I observed one (1) staff member directing two (2) children to the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom when they are on the playground. .1803(a)(9) 9995 A violation was found for which there is no item number. A lead teacher did not submit his/her education within six (6) months of employment to verify his/her lead teacher qualification. This staff member submitted his/her transcript and received a letter on 4/23/25. 9996 A violation was found for which there is no item number. Three (3) ants were crawling on the counter top during the visit. Technical assistance was provided as follows: 601: Refrigerator temperature Refrigerator temperature must be maintained at forty-five (45) degrees or lower. During the visit, I checked the temperature of the refrigerator twice. Both times, the reading was forty-six (46) degrees. Please lower the temperature and maintain the correct temperature for the health and safety of the children and staff members. Refer to 15A NCAC 09 .2806(j)(2). 859: Playground Inspection The playground inspection must be conducted monthly by the trained staff members. The most recent playground inspection was conducted on 2/24/25. Please inspect the playground at the earliest convenience possible and fill out the inspection form for March 2025. On the inspection form, please state that the inspection was for March but conducted on XX/XX/XXXX (date). Refer to 10A NCAC 09 .0605(q). 1876: Inappropriate discipline During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. Staff members shall guide children to do the right thing by asking open-ended questions and frequently discuss better choice-making. Young children are impulsive and do not always make the right decision. Focus on prevention by redirection and positive reinforcement. Staff members shall not prevent by making threats. You can get more tips of developmental appropriate discipline at National Resource Center at https://nrckids.org/. Refer to 10A NCAC 09 .1803(a)(4-6). 9995: Lead teacher qualification Lead Teacher qualification for Ms. Hambrook was issued on 4/23/25. On the compliance letter, please state how you will maintain compliance moving forward. An individual assuming lead teacher must submit information that verifies NC Credential or its equivalency within six (6) months. Please submit your official transcript to DCDEE WORKS and apply for a lead teacher position on Ms. Hambrook’s WORKS account. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c)Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1)a copy of the credential certificate; (2)a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3)a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4)documentation of enrollment in credential coursework. 9996: Insects: Please keep licensed space free of rodents vermin and insects. Three (3) ants were observed crawling on the counter top during the visit. If you place traps, make sure that it is not accessible to the children. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Due to the effects of tropical storm Helene, additional time is permitted to meet the compliance for the following item: 1898: Health and Safety training Staff member hired on 3/25/24 did not complete "Prevention of sudden infant death syndrome and use of safe sleeping practices" within the first year of employment. Please have the staff member complete this training as soon as possible. If there is a valid ITS/SIDS certificate in file, this training is not required to be completed. Achieving Compliance: A follow-up visit will be conducted to verify compliance of discipline requirements. Due to the nature of violation, you may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: How to pick up children: During the visit, I witnessed two (2) staff members pick up a child by the upper arms. Additionally, one (1) staff member held a child’s wrist while the child dropped to the ground. These actions can possibly cause dislocation of joints as well as nursemaid elbow. To protect the children, it is strongly recommended to pick up the child by torso. Hold hands gently to lead children and let the hands go when they fall to the ground. Rated License Assessment: All violations cited today must be corrected before proceeding with the Rated License Assessment including a follow-up visit. Program Standard: Program standards will be evaluated based on the program restriction as well as ERS scores. Avery’s Creek Head Start received ECERS-R on 1/5/23 and scored 5.03. This score is valid for three (3) years. The program chose to use this score to renew the Rated License Assessment. The program restriction includes enhanced space and reduced ratios. Additionally, this program met 10A NCAC 09 .2806(a). Quality Point: On the application, employee benefit was listed. Initial email asking additional information for this section was sent on April, 21, 2025 but has not been answered yet. I will reach out to Mr. Wolffe via email again. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2806 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 4 To 5 Total Minutes: 316 Time In: 08:59 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Shawn Wolffe, Administrator. Today, Ms. Hambrook assisted. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 4/21/25. Permit type – Four-start center license issued on 1/29/25. Special Services/Restrictions – daytime care, meet enhanced space and reduced ratios. The last annual compliance visit was conducted on 5/2/24. This site is approved for NC Pre-K. The last fire drill was practiced on 3/31/25. The last shelter-in-place drill was practiced on 1/31/25. The last playground inspection was documented on 2/24/25. The last fire inspection was approved on 11/12/24. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint – this site is exempt from the lead-based paint assessment requirements based on the record listed on the Clearn Water for Carolina Kids website. No record was found for asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. There were fourteen (14) children, four-to-five years of age, present with three (3) staff members. Thirteen (13) children participated in group time while one (1) child remained at the table and finished breakfast. One (1) staff member sat at a different table and had his/her breakfast while supervising the child. He/she had a bag of potato chips and a chicken biscuit. Children were served with a chicken biscuit, applesauce and milk. The items were accurately listed on the menu. The refrigerator temperature was forty-six (46) degrees at 9:32 am. I waited for approximately an hour to recheck the temperature, but it was still forty-six (46) degrees. After group time, the children engaged in free play with various materials, such as large Duplo blocks, a large frog puppet, magnetic tiles, number puzzles, dress up clothes, other housekeeping materials and painting. One (1) staff member stationed at the tables and supervised children’s painting activity, while the other staff members moved about, interacted and supervised children. The staff members actively engaged with children, asking open-ended questions, embedding math concepts and literacy skills. One (1) occupational therapist visited the classroom, supervised and interacted with one (1) child during the visit. This staff member was not counted in ratio. Staff interactions were observed. A staff member directed one (1) of the children to clean literacy material. In order to do so, the staff member led him/her by pulling the child by the wrist. This was not a forceful pull. When the child dropped to the floor, the staff member attempted to pull him/her up by the wrist. When the child did not get up, the staff member released the child’s wrist. There was an occasion when a child put him/herself in the box for a large puppet. To remove this child from the box, a staff member picked him/her up by the upper arm. There was another occasion when another staff member picked the same child up by the upper arm. During free play, one (1) staff member directed different children to use the bathroom before going to the playground. The staff member instructed two (2) children to use the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom once they were outside. This staff member also made comments such as, “You don’t want me to put you in the (area),” to a child. On the playground, the same staff member raised yelled at a group of children to leave the area who gathered around a child who was crying. No safety hazards were observed on the playground. Two (1) medication – one (1) over-the-counter and one (1) prescription were maintained at this facility. Storage, required documentation were in compliance. Four (4) children’s files were monitored. Some of the medical documents were maintained electronically in Child Plus. Two (2) staff members’ files were monitored. Please see the attached documentation for the details of Staff and Training Worksheet review. The application for the Rated License reassessment was submitted by Mr. Wolffe via email on April 15, 2025. 10A NCAC 09 .2806: The lesson plan was not posted and dated for this week. The lesson plan was created online. However, Ms. Hambrook could not print it during the visit due to scheduled maintenance of the website. Social/emotional approaches to learning, language and communication, cognitive development and health and physical developments were all included in the activity plan for April 7th through April 11th, 2025. Per posted schedule, free play time is scheduled from 9:20 am – 10:20 am, outdoor time are from 10:00 am to 11:25 am and group time is 9:00 am – 9:20 am daily. Times and activities were developmentally appropriate for the children in care. The program does not provide transportation. The buses for Community Action Opportunities were monitored on 6/5/24. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. NC Pre-K site monitoring is not completed for 2024-2025 school year due to the effects of tropical storm Helene. Two (2) children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperatures at 9:32 am was forty-six (46) degrees. I re-checked the temperature approximately an hour later, and it was still forty-six (46) degrees. 15A NCAC 18A .2806(j)(2) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed and dated 2/24/25. .0605(q) 1043 All staff records, except financial records, were not made available for review. Due to technical issues, the current lesson plans, the health questionnaire and emergency information form for staff member hired on 5/30/23 and a child's immunization record were not available for review. G.S. 110-91( 9) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. At another occasion, I observed one (1) staff member directing two (2) children to the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom when they are on the playground. .1803(a)(9) 9995 A violation was found for which there is no item number. A lead teacher did not submit his/her education within six (6) months of employment to verify his/her lead teacher qualification. This staff member submitted his/her transcript and received a letter on 4/23/25. 9996 A violation was found for which there is no item number. Three (3) ants were crawling on the counter top during the visit. Technical assistance was provided as follows: 601: Refrigerator temperature Refrigerator temperature must be maintained at forty-five (45) degrees or lower. During the visit, I checked the temperature of the refrigerator twice. Both times, the reading was forty-six (46) degrees. Please lower the temperature and maintain the correct temperature for the health and safety of the children and staff members. Refer to 15A NCAC 09 .2806(j)(2). 859: Playground Inspection The playground inspection must be conducted monthly by the trained staff members. The most recent playground inspection was conducted on 2/24/25. Please inspect the playground at the earliest convenience possible and fill out the inspection form for March 2025. On the inspection form, please state that the inspection was for March but conducted on XX/XX/XXXX (date). Refer to 10A NCAC 09 .0605(q). 1876: Inappropriate discipline During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. Staff members shall guide children to do the right thing by asking open-ended questions and frequently discuss better choice-making. Young children are impulsive and do not always make the right decision. Focus on prevention by redirection and positive reinforcement. Staff members shall not prevent by making threats. You can get more tips of developmental appropriate discipline at National Resource Center at https://nrckids.org/. Refer to 10A NCAC 09 .1803(a)(4-6). 9995: Lead teacher qualification Lead Teacher qualification for Ms. Hambrook was issued on 4/23/25. On the compliance letter, please state how you will maintain compliance moving forward. An individual assuming lead teacher must submit information that verifies NC Credential or its equivalency within six (6) months. Please submit your official transcript to DCDEE WORKS and apply for a lead teacher position on Ms. Hambrook’s WORKS account. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c)Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1)a copy of the credential certificate; (2)a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3)a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4)documentation of enrollment in credential coursework. 9996: Insects: Please keep licensed space free of rodents vermin and insects. Three (3) ants were observed crawling on the counter top during the visit. If you place traps, make sure that it is not accessible to the children. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Due to the effects of tropical storm Helene, additional time is permitted to meet the compliance for the following item: 1898: Health and Safety training Staff member hired on 3/25/24 did not complete "Prevention of sudden infant death syndrome and use of safe sleeping practices" within the first year of employment. Please have the staff member complete this training as soon as possible. If there is a valid ITS/SIDS certificate in file, this training is not required to be completed. Achieving Compliance: A follow-up visit will be conducted to verify compliance of discipline requirements. Due to the nature of violation, you may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: How to pick up children: During the visit, I witnessed two (2) staff members pick up a child by the upper arms. Additionally, one (1) staff member held a child’s wrist while the child dropped to the ground. These actions can possibly cause dislocation of joints as well as nursemaid elbow. To protect the children, it is strongly recommended to pick up the child by torso. Hold hands gently to lead children and let the hands go when they fall to the ground. Rated License Assessment: All violations cited today must be corrected before proceeding with the Rated License Assessment including a follow-up visit. Program Standard: Program standards will be evaluated based on the program restriction as well as ERS scores. Avery’s Creek Head Start received ECERS-R on 1/5/23 and scored 5.03. This score is valid for three (3) years. The program chose to use this score to renew the Rated License Assessment. The program restriction includes enhanced space and reduced ratios. Additionally, this program met 10A NCAC 09 .2806(a). Quality Point: On the application, employee benefit was listed. Initial email asking additional information for this section was sent on April, 21, 2025 but has not been answered yet. I will reach out to Mr. Wolffe via email again. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 4 To 5 Total Minutes: 316 Time In: 08:59 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Shawn Wolffe, Administrator. Today, Ms. Hambrook assisted. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 4/21/25. Permit type – Four-start center license issued on 1/29/25. Special Services/Restrictions – daytime care, meet enhanced space and reduced ratios. The last annual compliance visit was conducted on 5/2/24. This site is approved for NC Pre-K. The last fire drill was practiced on 3/31/25. The last shelter-in-place drill was practiced on 1/31/25. The last playground inspection was documented on 2/24/25. The last fire inspection was approved on 11/12/24. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint – this site is exempt from the lead-based paint assessment requirements based on the record listed on the Clearn Water for Carolina Kids website. No record was found for asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. There were fourteen (14) children, four-to-five years of age, present with three (3) staff members. Thirteen (13) children participated in group time while one (1) child remained at the table and finished breakfast. One (1) staff member sat at a different table and had his/her breakfast while supervising the child. He/she had a bag of potato chips and a chicken biscuit. Children were served with a chicken biscuit, applesauce and milk. The items were accurately listed on the menu. The refrigerator temperature was forty-six (46) degrees at 9:32 am. I waited for approximately an hour to recheck the temperature, but it was still forty-six (46) degrees. After group time, the children engaged in free play with various materials, such as large Duplo blocks, a large frog puppet, magnetic tiles, number puzzles, dress up clothes, other housekeeping materials and painting. One (1) staff member stationed at the tables and supervised children’s painting activity, while the other staff members moved about, interacted and supervised children. The staff members actively engaged with children, asking open-ended questions, embedding math concepts and literacy skills. One (1) occupational therapist visited the classroom, supervised and interacted with one (1) child during the visit. This staff member was not counted in ratio. Staff interactions were observed. A staff member directed one (1) of the children to clean literacy material. In order to do so, the staff member led him/her by pulling the child by the wrist. This was not a forceful pull. When the child dropped to the floor, the staff member attempted to pull him/her up by the wrist. When the child did not get up, the staff member released the child’s wrist. There was an occasion when a child put him/herself in the box for a large puppet. To remove this child from the box, a staff member picked him/her up by the upper arm. There was another occasion when another staff member picked the same child up by the upper arm. During free play, one (1) staff member directed different children to use the bathroom before going to the playground. The staff member instructed two (2) children to use the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom once they were outside. This staff member also made comments such as, “You don’t want me to put you in the (area),” to a child. On the playground, the same staff member raised yelled at a group of children to leave the area who gathered around a child who was crying. No safety hazards were observed on the playground. Two (1) medication – one (1) over-the-counter and one (1) prescription were maintained at this facility. Storage, required documentation were in compliance. Four (4) children’s files were monitored. Some of the medical documents were maintained electronically in Child Plus. Two (2) staff members’ files were monitored. Please see the attached documentation for the details of Staff and Training Worksheet review. The application for the Rated License reassessment was submitted by Mr. Wolffe via email on April 15, 2025. 10A NCAC 09 .2806: The lesson plan was not posted and dated for this week. The lesson plan was created online. However, Ms. Hambrook could not print it during the visit due to scheduled maintenance of the website. Social/emotional approaches to learning, language and communication, cognitive development and health and physical developments were all included in the activity plan for April 7th through April 11th, 2025. Per posted schedule, free play time is scheduled from 9:20 am – 10:20 am, outdoor time are from 10:00 am to 11:25 am and group time is 9:00 am – 9:20 am daily. Times and activities were developmentally appropriate for the children in care. The program does not provide transportation. The buses for Community Action Opportunities were monitored on 6/5/24. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. NC Pre-K site monitoring is not completed for 2024-2025 school year due to the effects of tropical storm Helene. Two (2) children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperatures at 9:32 am was forty-six (46) degrees. I re-checked the temperature approximately an hour later, and it was still forty-six (46) degrees. 15A NCAC 18A .2806(j)(2) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed and dated 2/24/25. .0605(q) 1043 All staff records, except financial records, were not made available for review. Due to technical issues, the current lesson plans, the health questionnaire and emergency information form for staff member hired on 5/30/23 and a child's immunization record were not available for review. G.S. 110-91( 9) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. At another occasion, I observed one (1) staff member directing two (2) children to the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom when they are on the playground. .1803(a)(9) 9995 A violation was found for which there is no item number. A lead teacher did not submit his/her education within six (6) months of employment to verify his/her lead teacher qualification. This staff member submitted his/her transcript and received a letter on 4/23/25. 9996 A violation was found for which there is no item number. Three (3) ants were crawling on the counter top during the visit. Technical assistance was provided as follows: 601: Refrigerator temperature Refrigerator temperature must be maintained at forty-five (45) degrees or lower. During the visit, I checked the temperature of the refrigerator twice. Both times, the reading was forty-six (46) degrees. Please lower the temperature and maintain the correct temperature for the health and safety of the children and staff members. Refer to 15A NCAC 09 .2806(j)(2). 859: Playground Inspection The playground inspection must be conducted monthly by the trained staff members. The most recent playground inspection was conducted on 2/24/25. Please inspect the playground at the earliest convenience possible and fill out the inspection form for March 2025. On the inspection form, please state that the inspection was for March but conducted on XX/XX/XXXX (date). Refer to 10A NCAC 09 .0605(q). 1876: Inappropriate discipline During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. Staff members shall guide children to do the right thing by asking open-ended questions and frequently discuss better choice-making. Young children are impulsive and do not always make the right decision. Focus on prevention by redirection and positive reinforcement. Staff members shall not prevent by making threats. You can get more tips of developmental appropriate discipline at National Resource Center at https://nrckids.org/. Refer to 10A NCAC 09 .1803(a)(4-6). 9995: Lead teacher qualification Lead Teacher qualification for Ms. Hambrook was issued on 4/23/25. On the compliance letter, please state how you will maintain compliance moving forward. An individual assuming lead teacher must submit information that verifies NC Credential or its equivalency within six (6) months. Please submit your official transcript to DCDEE WORKS and apply for a lead teacher position on Ms. Hambrook’s WORKS account. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c)Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1)a copy of the credential certificate; (2)a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3)a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4)documentation of enrollment in credential coursework. 9996: Insects: Please keep licensed space free of rodents vermin and insects. Three (3) ants were observed crawling on the counter top during the visit. If you place traps, make sure that it is not accessible to the children. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Due to the effects of tropical storm Helene, additional time is permitted to meet the compliance for the following item: 1898: Health and Safety training Staff member hired on 3/25/24 did not complete "Prevention of sudden infant death syndrome and use of safe sleeping practices" within the first year of employment. Please have the staff member complete this training as soon as possible. If there is a valid ITS/SIDS certificate in file, this training is not required to be completed. Achieving Compliance: A follow-up visit will be conducted to verify compliance of discipline requirements. Due to the nature of violation, you may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: How to pick up children: During the visit, I witnessed two (2) staff members pick up a child by the upper arms. Additionally, one (1) staff member held a child’s wrist while the child dropped to the ground. These actions can possibly cause dislocation of joints as well as nursemaid elbow. To protect the children, it is strongly recommended to pick up the child by torso. Hold hands gently to lead children and let the hands go when they fall to the ground. Rated License Assessment: All violations cited today must be corrected before proceeding with the Rated License Assessment including a follow-up visit. Program Standard: Program standards will be evaluated based on the program restriction as well as ERS scores. Avery’s Creek Head Start received ECERS-R on 1/5/23 and scored 5.03. This score is valid for three (3) years. The program chose to use this score to renew the Rated License Assessment. The program restriction includes enhanced space and reduced ratios. Additionally, this program met 10A NCAC 09 .2806(a). Quality Point: On the application, employee benefit was listed. Initial email asking additional information for this section was sent on April, 21, 2025 but has not been answered yet. I will reach out to Mr. Wolffe via email again. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 4 To 5 Total Minutes: 316 Time In: 08:59 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Shawn Wolffe, Administrator. Today, Ms. Hambrook assisted. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 4/21/25. Permit type – Four-start center license issued on 1/29/25. Special Services/Restrictions – daytime care, meet enhanced space and reduced ratios. The last annual compliance visit was conducted on 5/2/24. This site is approved for NC Pre-K. The last fire drill was practiced on 3/31/25. The last shelter-in-place drill was practiced on 1/31/25. The last playground inspection was documented on 2/24/25. The last fire inspection was approved on 11/12/24. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint – this site is exempt from the lead-based paint assessment requirements based on the record listed on the Clearn Water for Carolina Kids website. No record was found for asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. There were fourteen (14) children, four-to-five years of age, present with three (3) staff members. Thirteen (13) children participated in group time while one (1) child remained at the table and finished breakfast. One (1) staff member sat at a different table and had his/her breakfast while supervising the child. He/she had a bag of potato chips and a chicken biscuit. Children were served with a chicken biscuit, applesauce and milk. The items were accurately listed on the menu. The refrigerator temperature was forty-six (46) degrees at 9:32 am. I waited for approximately an hour to recheck the temperature, but it was still forty-six (46) degrees. After group time, the children engaged in free play with various materials, such as large Duplo blocks, a large frog puppet, magnetic tiles, number puzzles, dress up clothes, other housekeeping materials and painting. One (1) staff member stationed at the tables and supervised children’s painting activity, while the other staff members moved about, interacted and supervised children. The staff members actively engaged with children, asking open-ended questions, embedding math concepts and literacy skills. One (1) occupational therapist visited the classroom, supervised and interacted with one (1) child during the visit. This staff member was not counted in ratio. Staff interactions were observed. A staff member directed one (1) of the children to clean literacy material. In order to do so, the staff member led him/her by pulling the child by the wrist. This was not a forceful pull. When the child dropped to the floor, the staff member attempted to pull him/her up by the wrist. When the child did not get up, the staff member released the child’s wrist. There was an occasion when a child put him/herself in the box for a large puppet. To remove this child from the box, a staff member picked him/her up by the upper arm. There was another occasion when another staff member picked the same child up by the upper arm. During free play, one (1) staff member directed different children to use the bathroom before going to the playground. The staff member instructed two (2) children to use the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom once they were outside. This staff member also made comments such as, “You don’t want me to put you in the (area),” to a child. On the playground, the same staff member raised yelled at a group of children to leave the area who gathered around a child who was crying. No safety hazards were observed on the playground. Two (1) medication – one (1) over-the-counter and one (1) prescription were maintained at this facility. Storage, required documentation were in compliance. Four (4) children’s files were monitored. Some of the medical documents were maintained electronically in Child Plus. Two (2) staff members’ files were monitored. Please see the attached documentation for the details of Staff and Training Worksheet review. The application for the Rated License reassessment was submitted by Mr. Wolffe via email on April 15, 2025. 10A NCAC 09 .2806: The lesson plan was not posted and dated for this week. The lesson plan was created online. However, Ms. Hambrook could not print it during the visit due to scheduled maintenance of the website. Social/emotional approaches to learning, language and communication, cognitive development and health and physical developments were all included in the activity plan for April 7th through April 11th, 2025. Per posted schedule, free play time is scheduled from 9:20 am – 10:20 am, outdoor time are from 10:00 am to 11:25 am and group time is 9:00 am – 9:20 am daily. Times and activities were developmentally appropriate for the children in care. The program does not provide transportation. The buses for Community Action Opportunities were monitored on 6/5/24. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. NC Pre-K site monitoring is not completed for 2024-2025 school year due to the effects of tropical storm Helene. Two (2) children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperatures at 9:32 am was forty-six (46) degrees. I re-checked the temperature approximately an hour later, and it was still forty-six (46) degrees. 15A NCAC 18A .2806(j)(2) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed and dated 2/24/25. .0605(q) 1043 All staff records, except financial records, were not made available for review. Due to technical issues, the current lesson plans, the health questionnaire and emergency information form for staff member hired on 5/30/23 and a child's immunization record were not available for review. G.S. 110-91( 9) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. At another occasion, I observed one (1) staff member directing two (2) children to the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom when they are on the playground. .1803(a)(9) 9995 A violation was found for which there is no item number. A lead teacher did not submit his/her education within six (6) months of employment to verify his/her lead teacher qualification. This staff member submitted his/her transcript and received a letter on 4/23/25. 9996 A violation was found for which there is no item number. Three (3) ants were crawling on the counter top during the visit. Technical assistance was provided as follows: 601: Refrigerator temperature Refrigerator temperature must be maintained at forty-five (45) degrees or lower. During the visit, I checked the temperature of the refrigerator twice. Both times, the reading was forty-six (46) degrees. Please lower the temperature and maintain the correct temperature for the health and safety of the children and staff members. Refer to 15A NCAC 09 .2806(j)(2). 859: Playground Inspection The playground inspection must be conducted monthly by the trained staff members. The most recent playground inspection was conducted on 2/24/25. Please inspect the playground at the earliest convenience possible and fill out the inspection form for March 2025. On the inspection form, please state that the inspection was for March but conducted on XX/XX/XXXX (date). Refer to 10A NCAC 09 .0605(q). 1876: Inappropriate discipline During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. Staff members shall guide children to do the right thing by asking open-ended questions and frequently discuss better choice-making. Young children are impulsive and do not always make the right decision. Focus on prevention by redirection and positive reinforcement. Staff members shall not prevent by making threats. You can get more tips of developmental appropriate discipline at National Resource Center at https://nrckids.org/. Refer to 10A NCAC 09 .1803(a)(4-6). 9995: Lead teacher qualification Lead Teacher qualification for Ms. Hambrook was issued on 4/23/25. On the compliance letter, please state how you will maintain compliance moving forward. An individual assuming lead teacher must submit information that verifies NC Credential or its equivalency within six (6) months. Please submit your official transcript to DCDEE WORKS and apply for a lead teacher position on Ms. Hambrook’s WORKS account. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c)Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1)a copy of the credential certificate; (2)a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3)a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4)documentation of enrollment in credential coursework. 9996: Insects: Please keep licensed space free of rodents vermin and insects. Three (3) ants were observed crawling on the counter top during the visit. If you place traps, make sure that it is not accessible to the children. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Due to the effects of tropical storm Helene, additional time is permitted to meet the compliance for the following item: 1898: Health and Safety training Staff member hired on 3/25/24 did not complete "Prevention of sudden infant death syndrome and use of safe sleeping practices" within the first year of employment. Please have the staff member complete this training as soon as possible. If there is a valid ITS/SIDS certificate in file, this training is not required to be completed. Achieving Compliance: A follow-up visit will be conducted to verify compliance of discipline requirements. Due to the nature of violation, you may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: How to pick up children: During the visit, I witnessed two (2) staff members pick up a child by the upper arms. Additionally, one (1) staff member held a child’s wrist while the child dropped to the ground. These actions can possibly cause dislocation of joints as well as nursemaid elbow. To protect the children, it is strongly recommended to pick up the child by torso. Hold hands gently to lead children and let the hands go when they fall to the ground. Rated License Assessment: All violations cited today must be corrected before proceeding with the Rated License Assessment including a follow-up visit. Program Standard: Program standards will be evaluated based on the program restriction as well as ERS scores. Avery’s Creek Head Start received ECERS-R on 1/5/23 and scored 5.03. This score is valid for three (3) years. The program chose to use this score to renew the Rated License Assessment. The program restriction includes enhanced space and reduced ratios. Additionally, this program met 10A NCAC 09 .2806(a). Quality Point: On the application, employee benefit was listed. Initial email asking additional information for this section was sent on April, 21, 2025 but has not been answered yet. I will reach out to Mr. Wolffe via email again. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-91 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 4 To 5 Total Minutes: 316 Time In: 08:59 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Shawn Wolffe, Administrator. Today, Ms. Hambrook assisted. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 4/21/25. Permit type – Four-start center license issued on 1/29/25. Special Services/Restrictions – daytime care, meet enhanced space and reduced ratios. The last annual compliance visit was conducted on 5/2/24. This site is approved for NC Pre-K. The last fire drill was practiced on 3/31/25. The last shelter-in-place drill was practiced on 1/31/25. The last playground inspection was documented on 2/24/25. The last fire inspection was approved on 11/12/24. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint – this site is exempt from the lead-based paint assessment requirements based on the record listed on the Clearn Water for Carolina Kids website. No record was found for asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. There were fourteen (14) children, four-to-five years of age, present with three (3) staff members. Thirteen (13) children participated in group time while one (1) child remained at the table and finished breakfast. One (1) staff member sat at a different table and had his/her breakfast while supervising the child. He/she had a bag of potato chips and a chicken biscuit. Children were served with a chicken biscuit, applesauce and milk. The items were accurately listed on the menu. The refrigerator temperature was forty-six (46) degrees at 9:32 am. I waited for approximately an hour to recheck the temperature, but it was still forty-six (46) degrees. After group time, the children engaged in free play with various materials, such as large Duplo blocks, a large frog puppet, magnetic tiles, number puzzles, dress up clothes, other housekeeping materials and painting. One (1) staff member stationed at the tables and supervised children’s painting activity, while the other staff members moved about, interacted and supervised children. The staff members actively engaged with children, asking open-ended questions, embedding math concepts and literacy skills. One (1) occupational therapist visited the classroom, supervised and interacted with one (1) child during the visit. This staff member was not counted in ratio. Staff interactions were observed. A staff member directed one (1) of the children to clean literacy material. In order to do so, the staff member led him/her by pulling the child by the wrist. This was not a forceful pull. When the child dropped to the floor, the staff member attempted to pull him/her up by the wrist. When the child did not get up, the staff member released the child’s wrist. There was an occasion when a child put him/herself in the box for a large puppet. To remove this child from the box, a staff member picked him/her up by the upper arm. There was another occasion when another staff member picked the same child up by the upper arm. During free play, one (1) staff member directed different children to use the bathroom before going to the playground. The staff member instructed two (2) children to use the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom once they were outside. This staff member also made comments such as, “You don’t want me to put you in the (area),” to a child. On the playground, the same staff member raised yelled at a group of children to leave the area who gathered around a child who was crying. No safety hazards were observed on the playground. Two (1) medication – one (1) over-the-counter and one (1) prescription were maintained at this facility. Storage, required documentation were in compliance. Four (4) children’s files were monitored. Some of the medical documents were maintained electronically in Child Plus. Two (2) staff members’ files were monitored. Please see the attached documentation for the details of Staff and Training Worksheet review. The application for the Rated License reassessment was submitted by Mr. Wolffe via email on April 15, 2025. 10A NCAC 09 .2806: The lesson plan was not posted and dated for this week. The lesson plan was created online. However, Ms. Hambrook could not print it during the visit due to scheduled maintenance of the website. Social/emotional approaches to learning, language and communication, cognitive development and health and physical developments were all included in the activity plan for April 7th through April 11th, 2025. Per posted schedule, free play time is scheduled from 9:20 am – 10:20 am, outdoor time are from 10:00 am to 11:25 am and group time is 9:00 am – 9:20 am daily. Times and activities were developmentally appropriate for the children in care. The program does not provide transportation. The buses for Community Action Opportunities were monitored on 6/5/24. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. NC Pre-K site monitoring is not completed for 2024-2025 school year due to the effects of tropical storm Helene. Two (2) children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperatures at 9:32 am was forty-six (46) degrees. I re-checked the temperature approximately an hour later, and it was still forty-six (46) degrees. 15A NCAC 18A .2806(j)(2) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed and dated 2/24/25. .0605(q) 1043 All staff records, except financial records, were not made available for review. Due to technical issues, the current lesson plans, the health questionnaire and emergency information form for staff member hired on 5/30/23 and a child's immunization record were not available for review. G.S. 110-91( 9) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. At another occasion, I observed one (1) staff member directing two (2) children to the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom when they are on the playground. .1803(a)(9) 9995 A violation was found for which there is no item number. A lead teacher did not submit his/her education within six (6) months of employment to verify his/her lead teacher qualification. This staff member submitted his/her transcript and received a letter on 4/23/25. 9996 A violation was found for which there is no item number. Three (3) ants were crawling on the counter top during the visit. Technical assistance was provided as follows: 601: Refrigerator temperature Refrigerator temperature must be maintained at forty-five (45) degrees or lower. During the visit, I checked the temperature of the refrigerator twice. Both times, the reading was forty-six (46) degrees. Please lower the temperature and maintain the correct temperature for the health and safety of the children and staff members. Refer to 15A NCAC 09 .2806(j)(2). 859: Playground Inspection The playground inspection must be conducted monthly by the trained staff members. The most recent playground inspection was conducted on 2/24/25. Please inspect the playground at the earliest convenience possible and fill out the inspection form for March 2025. On the inspection form, please state that the inspection was for March but conducted on XX/XX/XXXX (date). Refer to 10A NCAC 09 .0605(q). 1876: Inappropriate discipline During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. Staff members shall guide children to do the right thing by asking open-ended questions and frequently discuss better choice-making. Young children are impulsive and do not always make the right decision. Focus on prevention by redirection and positive reinforcement. Staff members shall not prevent by making threats. You can get more tips of developmental appropriate discipline at National Resource Center at https://nrckids.org/. Refer to 10A NCAC 09 .1803(a)(4-6). 9995: Lead teacher qualification Lead Teacher qualification for Ms. Hambrook was issued on 4/23/25. On the compliance letter, please state how you will maintain compliance moving forward. An individual assuming lead teacher must submit information that verifies NC Credential or its equivalency within six (6) months. Please submit your official transcript to DCDEE WORKS and apply for a lead teacher position on Ms. Hambrook’s WORKS account. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c)Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1)a copy of the credential certificate; (2)a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3)a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4)documentation of enrollment in credential coursework. 9996: Insects: Please keep licensed space free of rodents vermin and insects. Three (3) ants were observed crawling on the counter top during the visit. If you place traps, make sure that it is not accessible to the children. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Due to the effects of tropical storm Helene, additional time is permitted to meet the compliance for the following item: 1898: Health and Safety training Staff member hired on 3/25/24 did not complete "Prevention of sudden infant death syndrome and use of safe sleeping practices" within the first year of employment. Please have the staff member complete this training as soon as possible. If there is a valid ITS/SIDS certificate in file, this training is not required to be completed. Achieving Compliance: A follow-up visit will be conducted to verify compliance of discipline requirements. Due to the nature of violation, you may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: How to pick up children: During the visit, I witnessed two (2) staff members pick up a child by the upper arms. Additionally, one (1) staff member held a child’s wrist while the child dropped to the ground. These actions can possibly cause dislocation of joints as well as nursemaid elbow. To protect the children, it is strongly recommended to pick up the child by torso. Hold hands gently to lead children and let the hands go when they fall to the ground. Rated License Assessment: All violations cited today must be corrected before proceeding with the Rated License Assessment including a follow-up visit. Program Standard: Program standards will be evaluated based on the program restriction as well as ERS scores. Avery’s Creek Head Start received ECERS-R on 1/5/23 and scored 5.03. This score is valid for three (3) years. The program chose to use this score to renew the Rated License Assessment. The program restriction includes enhanced space and reduced ratios. Additionally, this program met 10A NCAC 09 .2806(a). Quality Point: On the application, employee benefit was listed. Initial email asking additional information for this section was sent on April, 21, 2025 but has not been answered yet. I will reach out to Mr. Wolffe via email again. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 14 Completed Date: 4/24/2025 Age: From 4 To 5 Total Minutes: 316 Time In: 08:59 AM Time Out: 02:15 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with Rated License Assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. A signed copy of the visit summary was left on-site and/or electronically emailed to Shawn Wolffe, Administrator. Today, Ms. Hambrook assisted. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three (93) percent as of today prior to this visit. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Community Action Opportunities, is current/active as of 4/21/25. Permit type – Four-start center license issued on 1/29/25. Special Services/Restrictions – daytime care, meet enhanced space and reduced ratios. The last annual compliance visit was conducted on 5/2/24. This site is approved for NC Pre-K. The last fire drill was practiced on 3/31/25. The last shelter-in-place drill was practiced on 1/31/25. The last playground inspection was documented on 2/24/25. The last fire inspection was approved on 11/12/24. The last sanitation inspection was conducted on 1/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 6/27/24 without hazards. Lead paint – this site is exempt from the lead-based paint assessment requirements based on the record listed on the Clearn Water for Carolina Kids website. No record was found for asbestos testing. Upon arrival, I announced my presence and the purpose of the visit. There were fourteen (14) children, four-to-five years of age, present with three (3) staff members. Thirteen (13) children participated in group time while one (1) child remained at the table and finished breakfast. One (1) staff member sat at a different table and had his/her breakfast while supervising the child. He/she had a bag of potato chips and a chicken biscuit. Children were served with a chicken biscuit, applesauce and milk. The items were accurately listed on the menu. The refrigerator temperature was forty-six (46) degrees at 9:32 am. I waited for approximately an hour to recheck the temperature, but it was still forty-six (46) degrees. After group time, the children engaged in free play with various materials, such as large Duplo blocks, a large frog puppet, magnetic tiles, number puzzles, dress up clothes, other housekeeping materials and painting. One (1) staff member stationed at the tables and supervised children’s painting activity, while the other staff members moved about, interacted and supervised children. The staff members actively engaged with children, asking open-ended questions, embedding math concepts and literacy skills. One (1) occupational therapist visited the classroom, supervised and interacted with one (1) child during the visit. This staff member was not counted in ratio. Staff interactions were observed. A staff member directed one (1) of the children to clean literacy material. In order to do so, the staff member led him/her by pulling the child by the wrist. This was not a forceful pull. When the child dropped to the floor, the staff member attempted to pull him/her up by the wrist. When the child did not get up, the staff member released the child’s wrist. There was an occasion when a child put him/herself in the box for a large puppet. To remove this child from the box, a staff member picked him/her up by the upper arm. There was another occasion when another staff member picked the same child up by the upper arm. During free play, one (1) staff member directed different children to use the bathroom before going to the playground. The staff member instructed two (2) children to use the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom once they were outside. This staff member also made comments such as, “You don’t want me to put you in the (area),” to a child. On the playground, the same staff member raised yelled at a group of children to leave the area who gathered around a child who was crying. No safety hazards were observed on the playground. Two (1) medication – one (1) over-the-counter and one (1) prescription were maintained at this facility. Storage, required documentation were in compliance. Four (4) children’s files were monitored. Some of the medical documents were maintained electronically in Child Plus. Two (2) staff members’ files were monitored. Please see the attached documentation for the details of Staff and Training Worksheet review. The application for the Rated License reassessment was submitted by Mr. Wolffe via email on April 15, 2025. 10A NCAC 09 .2806: The lesson plan was not posted and dated for this week. The lesson plan was created online. However, Ms. Hambrook could not print it during the visit due to scheduled maintenance of the website. Social/emotional approaches to learning, language and communication, cognitive development and health and physical developments were all included in the activity plan for April 7th through April 11th, 2025. Per posted schedule, free play time is scheduled from 9:20 am – 10:20 am, outdoor time are from 10:00 am to 11:25 am and group time is 9:00 am – 9:20 am daily. Times and activities were developmentally appropriate for the children in care. The program does not provide transportation. The buses for Community Action Opportunities were monitored on 6/5/24. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. NC Pre-K site monitoring is not completed for 2024-2025 school year due to the effects of tropical storm Helene. Two (2) children’s files were monitored today. The classroom operates from 8:30 a.m. to 3 p.m. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 601 Refrigerator(s) did not maintain a temperature of 45 degrees F. or below. The refrigerator temperatures at 9:32 am was forty-six (46) degrees. I re-checked the temperature approximately an hour later, and it was still forty-six (46) degrees. 15A NCAC 18A .2806(j)(2) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The most recent playground inspection was completed and dated 2/24/25. .0605(q) 1043 All staff records, except financial records, were not made available for review. Due to technical issues, the current lesson plans, the health questionnaire and emergency information form for staff member hired on 5/30/23 and a child's immunization record were not available for review. G.S. 110-91( 9) 1876 A child was yelled at, shamed, humiliated, frightened, threatened or bullied. During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. At another occasion, I observed one (1) staff member directing two (2) children to the bathroom and told them that he/she would not bring them back to the classroom to use the bathroom when they are on the playground. .1803(a)(9) 9995 A violation was found for which there is no item number. A lead teacher did not submit his/her education within six (6) months of employment to verify his/her lead teacher qualification. This staff member submitted his/her transcript and received a letter on 4/23/25. 9996 A violation was found for which there is no item number. Three (3) ants were crawling on the counter top during the visit. Technical assistance was provided as follows: 601: Refrigerator temperature Refrigerator temperature must be maintained at forty-five (45) degrees or lower. During the visit, I checked the temperature of the refrigerator twice. Both times, the reading was forty-six (46) degrees. Please lower the temperature and maintain the correct temperature for the health and safety of the children and staff members. Refer to 15A NCAC 09 .2806(j)(2). 859: Playground Inspection The playground inspection must be conducted monthly by the trained staff members. The most recent playground inspection was conducted on 2/24/25. Please inspect the playground at the earliest convenience possible and fill out the inspection form for March 2025. On the inspection form, please state that the inspection was for March but conducted on XX/XX/XXXX (date). Refer to 10A NCAC 09 .0605(q). 1876: Inappropriate discipline During the visit, a staff member used a form of threatening terms to coerce children’s behavior by saying, “You don’t want me to put you in (area – unclear).” Additionally, the same staff member yelled at the children to leave the area when they gathered around a child who was crying on the playground. Staff members shall guide children to do the right thing by asking open-ended questions and frequently discuss better choice-making. Young children are impulsive and do not always make the right decision. Focus on prevention by redirection and positive reinforcement. Staff members shall not prevent by making threats. You can get more tips of developmental appropriate discipline at National Resource Center at https://nrckids.org/. Refer to 10A NCAC 09 .1803(a)(4-6). 9995: Lead teacher qualification Lead Teacher qualification for Ms. Hambrook was issued on 4/23/25. On the compliance letter, please state how you will maintain compliance moving forward. An individual assuming lead teacher must submit information that verifies NC Credential or its equivalency within six (6) months. Please submit your official transcript to DCDEE WORKS and apply for a lead teacher position on Ms. Hambrook’s WORKS account. 10A NCAC 09 .0703 GENERAL STATUTORY REQUIREMENTS (c)Within six months of an individual assuming lead teacher or child care administrator duties, each center shall maintain the following information in the individual's staff record: (1)a copy of the credential certificate; (2)a copy of notification from the Division that the individual meets the equivalency or that the individual does not meet the equivalency and must enroll in coursework; (3)a dated copy of the request submitted by the individual to the Division for the assessment of equivalency status; or (4)documentation of enrollment in credential coursework. 9996: Insects: Please keep licensed space free of rodents vermin and insects. Three (3) ants were observed crawling on the counter top during the visit. If you place traps, make sure that it is not accessible to the children. 15A NCAC 18A .2831 ANIMAL AND VERMIN CONTROL (b) Effective measures shall be taken to keep uncontained insects, rodents, and other vermin out of the child care centers and to prevent their breeding or presence on the premises. Traps shall only be placed in areas inaccessible to children. Due to the effects of tropical storm Helene, additional time is permitted to meet the compliance for the following item: 1898: Health and Safety training Staff member hired on 3/25/24 did not complete "Prevention of sudden infant death syndrome and use of safe sleeping practices" within the first year of employment. Please have the staff member complete this training as soon as possible. If there is a valid ITS/SIDS certificate in file, this training is not required to be completed. Achieving Compliance: A follow-up visit will be conducted to verify compliance of discipline requirements. Due to the nature of violation, you may be considered for administrative action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: How to pick up children: During the visit, I witnessed two (2) staff members pick up a child by the upper arms. Additionally, one (1) staff member held a child’s wrist while the child dropped to the ground. These actions can possibly cause dislocation of joints as well as nursemaid elbow. To protect the children, it is strongly recommended to pick up the child by torso. Hold hands gently to lead children and let the hands go when they fall to the ground. Rated License Assessment: All violations cited today must be corrected before proceeding with the Rated License Assessment including a follow-up visit. Program Standard: Program standards will be evaluated based on the program restriction as well as ERS scores. Avery’s Creek Head Start received ECERS-R on 1/5/23 and scored 5.03. This score is valid for three (3) years. The program chose to use this score to renew the Rated License Assessment. The program restriction includes enhanced space and reduced ratios. Additionally, this program met 10A NCAC 09 .2806(a). Quality Point: On the application, employee benefit was listed. Initial email asking additional information for this section was sent on April, 21, 2025 but has not been answered yet. I will reach out to Mr. Wolffe via email again. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0901 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 10 Completed Date: 1/29/2025 Age: From 4 To 5 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – four-star center license issued on 2/25/23. Special Services/Restrictions – daytime care, meets enhanced spaces and reduced ratios. The last annual compliance visit was conducted on 5/2/24. The last fire drill was practiced on 12/19/24. The last shelter-in-place and lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection, per teachers, was completed sometime after Tropical Storm Helene. However, the inspection posted was dated 1/22/24. I requested Mr. Wolff to submit the new fire inspection via email. The last sanitation inspection was conducted on 1/22/25 with fifteen (15) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. There were ten (10) children, four-to-five years of age, present with three (3) teachers. The children participated in group time then transitioned to free play. The teachers actively engaged in conversations and conducted small group activities with the children. The teachers reviewed numbers and letters with the children throughout free play time. The children actively played with materials, such as glue and collage materials, housekeeping, pretend animals, magnetic tiles, and other toys. The playground was inspected. No safety hazards were found. Supervision and interaction were copious. No children are on medications. Three (3) existing files were monitored partially for criminal background letters and CPR/First Aid certificate. All staff members have valid letters and certificates. During the visit, space #2 was occupied by a half-day program operated by the Buncombe County Schools. I was unable to inspect the space. Per email sent to me by Mr. Wolff, the space is no longer used by the Community Action Opportunities Head Start program and needed to be removed from the licensed space. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, yogurt, banana and milk were served as breakfast. On the menu, yogurt, strawberry and milk were listed for today's breakfast. No substitution items were listed on the menu. 10A NCAC 09 .0901(b) 1757 A valid qualification letter was not on file and available to review at the facility. N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 528: Food substitution During the visit, one child had breakfast. The child had yogurt, banana and milk. Yogurt, strawberry and milk were listed on the menu posted for today. Substitution items shall be corrected on the menu prior to serving children. Refer to 10A NCAC 09 .0901(b). 1757: Criminal background letter N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. Please print the letter and file it in the staff file. Refer to 10A NCAC 09 .2703(e). 1811: Shelter-in-place/lockdown drill Shelter-in-place or lockdown drills shall be practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. You needed to practice the drills again in December 2024. Please conduct the drill within the next two (2) weeks and record the drill on the log. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to meet the requirements for the following items: Consultation is provided as follows: Annual compliance (AC) visit: Due to the effects of Tropical Storm Helene, your routine unannounced visit was conducted on a delayed schedule. As a result, there will be shorter time before the next visit, AC visit will be conducted. Your AC visit will be conducted prior to 5/2/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 10 Completed Date: 1/29/2025 Age: From 4 To 5 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – four-star center license issued on 2/25/23. Special Services/Restrictions – daytime care, meets enhanced spaces and reduced ratios. The last annual compliance visit was conducted on 5/2/24. The last fire drill was practiced on 12/19/24. The last shelter-in-place and lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection, per teachers, was completed sometime after Tropical Storm Helene. However, the inspection posted was dated 1/22/24. I requested Mr. Wolff to submit the new fire inspection via email. The last sanitation inspection was conducted on 1/22/25 with fifteen (15) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. There were ten (10) children, four-to-five years of age, present with three (3) teachers. The children participated in group time then transitioned to free play. The teachers actively engaged in conversations and conducted small group activities with the children. The teachers reviewed numbers and letters with the children throughout free play time. The children actively played with materials, such as glue and collage materials, housekeeping, pretend animals, magnetic tiles, and other toys. The playground was inspected. No safety hazards were found. Supervision and interaction were copious. No children are on medications. Three (3) existing files were monitored partially for criminal background letters and CPR/First Aid certificate. All staff members have valid letters and certificates. During the visit, space #2 was occupied by a half-day program operated by the Buncombe County Schools. I was unable to inspect the space. Per email sent to me by Mr. Wolff, the space is no longer used by the Community Action Opportunities Head Start program and needed to be removed from the licensed space. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, yogurt, banana and milk were served as breakfast. On the menu, yogurt, strawberry and milk were listed for today's breakfast. No substitution items were listed on the menu. 10A NCAC 09 .0901(b) 1757 A valid qualification letter was not on file and available to review at the facility. N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 528: Food substitution During the visit, one child had breakfast. The child had yogurt, banana and milk. Yogurt, strawberry and milk were listed on the menu posted for today. Substitution items shall be corrected on the menu prior to serving children. Refer to 10A NCAC 09 .0901(b). 1757: Criminal background letter N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. Please print the letter and file it in the staff file. Refer to 10A NCAC 09 .2703(e). 1811: Shelter-in-place/lockdown drill Shelter-in-place or lockdown drills shall be practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. You needed to practice the drills again in December 2024. Please conduct the drill within the next two (2) weeks and record the drill on the log. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to meet the requirements for the following items: Consultation is provided as follows: Annual compliance (AC) visit: Due to the effects of Tropical Storm Helene, your routine unannounced visit was conducted on a delayed schedule. As a result, there will be shorter time before the next visit, AC visit will be conducted. Your AC visit will be conducted prior to 5/2/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0901 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 10 Completed Date: 1/29/2025 Age: From 4 To 5 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – four-star center license issued on 2/25/23. Special Services/Restrictions – daytime care, meets enhanced spaces and reduced ratios. The last annual compliance visit was conducted on 5/2/24. The last fire drill was practiced on 12/19/24. The last shelter-in-place and lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection, per teachers, was completed sometime after Tropical Storm Helene. However, the inspection posted was dated 1/22/24. I requested Mr. Wolff to submit the new fire inspection via email. The last sanitation inspection was conducted on 1/22/25 with fifteen (15) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. There were ten (10) children, four-to-five years of age, present with three (3) teachers. The children participated in group time then transitioned to free play. The teachers actively engaged in conversations and conducted small group activities with the children. The teachers reviewed numbers and letters with the children throughout free play time. The children actively played with materials, such as glue and collage materials, housekeeping, pretend animals, magnetic tiles, and other toys. The playground was inspected. No safety hazards were found. Supervision and interaction were copious. No children are on medications. Three (3) existing files were monitored partially for criminal background letters and CPR/First Aid certificate. All staff members have valid letters and certificates. During the visit, space #2 was occupied by a half-day program operated by the Buncombe County Schools. I was unable to inspect the space. Per email sent to me by Mr. Wolff, the space is no longer used by the Community Action Opportunities Head Start program and needed to be removed from the licensed space. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, yogurt, banana and milk were served as breakfast. On the menu, yogurt, strawberry and milk were listed for today's breakfast. No substitution items were listed on the menu. 10A NCAC 09 .0901(b) 1757 A valid qualification letter was not on file and available to review at the facility. N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 528: Food substitution During the visit, one child had breakfast. The child had yogurt, banana and milk. Yogurt, strawberry and milk were listed on the menu posted for today. Substitution items shall be corrected on the menu prior to serving children. Refer to 10A NCAC 09 .0901(b). 1757: Criminal background letter N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. Please print the letter and file it in the staff file. Refer to 10A NCAC 09 .2703(e). 1811: Shelter-in-place/lockdown drill Shelter-in-place or lockdown drills shall be practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. You needed to practice the drills again in December 2024. Please conduct the drill within the next two (2) weeks and record the drill on the log. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to meet the requirements for the following items: Consultation is provided as follows: Annual compliance (AC) visit: Due to the effects of Tropical Storm Helene, your routine unannounced visit was conducted on a delayed schedule. As a result, there will be shorter time before the next visit, AC visit will be conducted. Your AC visit will be conducted prior to 5/2/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 10 Completed Date: 1/29/2025 Age: From 4 To 5 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – four-star center license issued on 2/25/23. Special Services/Restrictions – daytime care, meets enhanced spaces and reduced ratios. The last annual compliance visit was conducted on 5/2/24. The last fire drill was practiced on 12/19/24. The last shelter-in-place and lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection, per teachers, was completed sometime after Tropical Storm Helene. However, the inspection posted was dated 1/22/24. I requested Mr. Wolff to submit the new fire inspection via email. The last sanitation inspection was conducted on 1/22/25 with fifteen (15) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. There were ten (10) children, four-to-five years of age, present with three (3) teachers. The children participated in group time then transitioned to free play. The teachers actively engaged in conversations and conducted small group activities with the children. The teachers reviewed numbers and letters with the children throughout free play time. The children actively played with materials, such as glue and collage materials, housekeeping, pretend animals, magnetic tiles, and other toys. The playground was inspected. No safety hazards were found. Supervision and interaction were copious. No children are on medications. Three (3) existing files were monitored partially for criminal background letters and CPR/First Aid certificate. All staff members have valid letters and certificates. During the visit, space #2 was occupied by a half-day program operated by the Buncombe County Schools. I was unable to inspect the space. Per email sent to me by Mr. Wolff, the space is no longer used by the Community Action Opportunities Head Start program and needed to be removed from the licensed space. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, yogurt, banana and milk were served as breakfast. On the menu, yogurt, strawberry and milk were listed for today's breakfast. No substitution items were listed on the menu. 10A NCAC 09 .0901(b) 1757 A valid qualification letter was not on file and available to review at the facility. N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 528: Food substitution During the visit, one child had breakfast. The child had yogurt, banana and milk. Yogurt, strawberry and milk were listed on the menu posted for today. Substitution items shall be corrected on the menu prior to serving children. Refer to 10A NCAC 09 .0901(b). 1757: Criminal background letter N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. Please print the letter and file it in the staff file. Refer to 10A NCAC 09 .2703(e). 1811: Shelter-in-place/lockdown drill Shelter-in-place or lockdown drills shall be practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. You needed to practice the drills again in December 2024. Please conduct the drill within the next two (2) weeks and record the drill on the log. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to meet the requirements for the following items: Consultation is provided as follows: Annual compliance (AC) visit: Due to the effects of Tropical Storm Helene, your routine unannounced visit was conducted on a delayed schedule. As a result, there will be shorter time before the next visit, AC visit will be conducted. Your AC visit will be conducted prior to 5/2/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 10 Completed Date: 1/29/2025 Age: From 4 To 5 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – four-star center license issued on 2/25/23. Special Services/Restrictions – daytime care, meets enhanced spaces and reduced ratios. The last annual compliance visit was conducted on 5/2/24. The last fire drill was practiced on 12/19/24. The last shelter-in-place and lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection, per teachers, was completed sometime after Tropical Storm Helene. However, the inspection posted was dated 1/22/24. I requested Mr. Wolff to submit the new fire inspection via email. The last sanitation inspection was conducted on 1/22/25 with fifteen (15) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. There were ten (10) children, four-to-five years of age, present with three (3) teachers. The children participated in group time then transitioned to free play. The teachers actively engaged in conversations and conducted small group activities with the children. The teachers reviewed numbers and letters with the children throughout free play time. The children actively played with materials, such as glue and collage materials, housekeeping, pretend animals, magnetic tiles, and other toys. The playground was inspected. No safety hazards were found. Supervision and interaction were copious. No children are on medications. Three (3) existing files were monitored partially for criminal background letters and CPR/First Aid certificate. All staff members have valid letters and certificates. During the visit, space #2 was occupied by a half-day program operated by the Buncombe County Schools. I was unable to inspect the space. Per email sent to me by Mr. Wolff, the space is no longer used by the Community Action Opportunities Head Start program and needed to be removed from the licensed space. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, yogurt, banana and milk were served as breakfast. On the menu, yogurt, strawberry and milk were listed for today's breakfast. No substitution items were listed on the menu. 10A NCAC 09 .0901(b) 1757 A valid qualification letter was not on file and available to review at the facility. N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 528: Food substitution During the visit, one child had breakfast. The child had yogurt, banana and milk. Yogurt, strawberry and milk were listed on the menu posted for today. Substitution items shall be corrected on the menu prior to serving children. Refer to 10A NCAC 09 .0901(b). 1757: Criminal background letter N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. Please print the letter and file it in the staff file. Refer to 10A NCAC 09 .2703(e). 1811: Shelter-in-place/lockdown drill Shelter-in-place or lockdown drills shall be practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. You needed to practice the drills again in December 2024. Please conduct the drill within the next two (2) weeks and record the drill on the log. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to meet the requirements for the following items: Consultation is provided as follows: Annual compliance (AC) visit: Due to the effects of Tropical Storm Helene, your routine unannounced visit was conducted on a delayed schedule. As a result, there will be shorter time before the next visit, AC visit will be conducted. Your AC visit will be conducted prior to 5/2/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2703 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 10 Completed Date: 1/29/2025 Age: From 4 To 5 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – four-star center license issued on 2/25/23. Special Services/Restrictions – daytime care, meets enhanced spaces and reduced ratios. The last annual compliance visit was conducted on 5/2/24. The last fire drill was practiced on 12/19/24. The last shelter-in-place and lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection, per teachers, was completed sometime after Tropical Storm Helene. However, the inspection posted was dated 1/22/24. I requested Mr. Wolff to submit the new fire inspection via email. The last sanitation inspection was conducted on 1/22/25 with fifteen (15) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. There were ten (10) children, four-to-five years of age, present with three (3) teachers. The children participated in group time then transitioned to free play. The teachers actively engaged in conversations and conducted small group activities with the children. The teachers reviewed numbers and letters with the children throughout free play time. The children actively played with materials, such as glue and collage materials, housekeeping, pretend animals, magnetic tiles, and other toys. The playground was inspected. No safety hazards were found. Supervision and interaction were copious. No children are on medications. Three (3) existing files were monitored partially for criminal background letters and CPR/First Aid certificate. All staff members have valid letters and certificates. During the visit, space #2 was occupied by a half-day program operated by the Buncombe County Schools. I was unable to inspect the space. Per email sent to me by Mr. Wolff, the space is no longer used by the Community Action Opportunities Head Start program and needed to be removed from the licensed space. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, yogurt, banana and milk were served as breakfast. On the menu, yogurt, strawberry and milk were listed for today's breakfast. No substitution items were listed on the menu. 10A NCAC 09 .0901(b) 1757 A valid qualification letter was not on file and available to review at the facility. N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 528: Food substitution During the visit, one child had breakfast. The child had yogurt, banana and milk. Yogurt, strawberry and milk were listed on the menu posted for today. Substitution items shall be corrected on the menu prior to serving children. Refer to 10A NCAC 09 .0901(b). 1757: Criminal background letter N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. Please print the letter and file it in the staff file. Refer to 10A NCAC 09 .2703(e). 1811: Shelter-in-place/lockdown drill Shelter-in-place or lockdown drills shall be practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. You needed to practice the drills again in December 2024. Please conduct the drill within the next two (2) weeks and record the drill on the log. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to meet the requirements for the following items: Consultation is provided as follows: Annual compliance (AC) visit: Due to the effects of Tropical Storm Helene, your routine unannounced visit was conducted on a delayed schedule. As a result, there will be shorter time before the next visit, AC visit will be conducted. Your AC visit will be conducted prior to 5/2/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 10 Completed Date: 1/29/2025 Age: From 4 To 5 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – four-star center license issued on 2/25/23. Special Services/Restrictions – daytime care, meets enhanced spaces and reduced ratios. The last annual compliance visit was conducted on 5/2/24. The last fire drill was practiced on 12/19/24. The last shelter-in-place and lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection, per teachers, was completed sometime after Tropical Storm Helene. However, the inspection posted was dated 1/22/24. I requested Mr. Wolff to submit the new fire inspection via email. The last sanitation inspection was conducted on 1/22/25 with fifteen (15) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. There were ten (10) children, four-to-five years of age, present with three (3) teachers. The children participated in group time then transitioned to free play. The teachers actively engaged in conversations and conducted small group activities with the children. The teachers reviewed numbers and letters with the children throughout free play time. The children actively played with materials, such as glue and collage materials, housekeeping, pretend animals, magnetic tiles, and other toys. The playground was inspected. No safety hazards were found. Supervision and interaction were copious. No children are on medications. Three (3) existing files were monitored partially for criminal background letters and CPR/First Aid certificate. All staff members have valid letters and certificates. During the visit, space #2 was occupied by a half-day program operated by the Buncombe County Schools. I was unable to inspect the space. Per email sent to me by Mr. Wolff, the space is no longer used by the Community Action Opportunities Head Start program and needed to be removed from the licensed space. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, yogurt, banana and milk were served as breakfast. On the menu, yogurt, strawberry and milk were listed for today's breakfast. No substitution items were listed on the menu. 10A NCAC 09 .0901(b) 1757 A valid qualification letter was not on file and available to review at the facility. N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 528: Food substitution During the visit, one child had breakfast. The child had yogurt, banana and milk. Yogurt, strawberry and milk were listed on the menu posted for today. Substitution items shall be corrected on the menu prior to serving children. Refer to 10A NCAC 09 .0901(b). 1757: Criminal background letter N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. Please print the letter and file it in the staff file. Refer to 10A NCAC 09 .2703(e). 1811: Shelter-in-place/lockdown drill Shelter-in-place or lockdown drills shall be practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. You needed to practice the drills again in December 2024. Please conduct the drill within the next two (2) weeks and record the drill on the log. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to meet the requirements for the following items: Consultation is provided as follows: Annual compliance (AC) visit: Due to the effects of Tropical Storm Helene, your routine unannounced visit was conducted on a delayed schedule. As a result, there will be shorter time before the next visit, AC visit will be conducted. Your AC visit will be conducted prior to 5/2/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 10 Completed Date: 1/29/2025 Age: From 4 To 5 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – four-star center license issued on 2/25/23. Special Services/Restrictions – daytime care, meets enhanced spaces and reduced ratios. The last annual compliance visit was conducted on 5/2/24. The last fire drill was practiced on 12/19/24. The last shelter-in-place and lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection, per teachers, was completed sometime after Tropical Storm Helene. However, the inspection posted was dated 1/22/24. I requested Mr. Wolff to submit the new fire inspection via email. The last sanitation inspection was conducted on 1/22/25 with fifteen (15) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. There were ten (10) children, four-to-five years of age, present with three (3) teachers. The children participated in group time then transitioned to free play. The teachers actively engaged in conversations and conducted small group activities with the children. The teachers reviewed numbers and letters with the children throughout free play time. The children actively played with materials, such as glue and collage materials, housekeeping, pretend animals, magnetic tiles, and other toys. The playground was inspected. No safety hazards were found. Supervision and interaction were copious. No children are on medications. Three (3) existing files were monitored partially for criminal background letters and CPR/First Aid certificate. All staff members have valid letters and certificates. During the visit, space #2 was occupied by a half-day program operated by the Buncombe County Schools. I was unable to inspect the space. Per email sent to me by Mr. Wolff, the space is no longer used by the Community Action Opportunities Head Start program and needed to be removed from the licensed space. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, yogurt, banana and milk were served as breakfast. On the menu, yogurt, strawberry and milk were listed for today's breakfast. No substitution items were listed on the menu. 10A NCAC 09 .0901(b) 1757 A valid qualification letter was not on file and available to review at the facility. N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 528: Food substitution During the visit, one child had breakfast. The child had yogurt, banana and milk. Yogurt, strawberry and milk were listed on the menu posted for today. Substitution items shall be corrected on the menu prior to serving children. Refer to 10A NCAC 09 .0901(b). 1757: Criminal background letter N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. Please print the letter and file it in the staff file. Refer to 10A NCAC 09 .2703(e). 1811: Shelter-in-place/lockdown drill Shelter-in-place or lockdown drills shall be practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. You needed to practice the drills again in December 2024. Please conduct the drill within the next two (2) weeks and record the drill on the log. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to meet the requirements for the following items: Consultation is provided as follows: Annual compliance (AC) visit: Due to the effects of Tropical Storm Helene, your routine unannounced visit was conducted on a delayed schedule. As a result, there will be shorter time before the next visit, AC visit will be conducted. Your AC visit will be conducted prior to 5/2/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KAORU EDDINS Operation Type: Center Case Number: Visit Date: 1/29/2025 Number Present: 10 Completed Date: 1/29/2025 Age: From 4 To 5 Total Minutes: 146 Time In: 09:04 AM Time Out: 11:30 AM 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 compliance during a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site and electronically emailed to Shawn Wolff, Administrator. Ms. Hambrook was available during the visit. The indoor and outdoor areas were monitored today, including but not limited to supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-four (94) percent as of today prior to this visit. Permit type – four-star center license issued on 2/25/23. Special Services/Restrictions – daytime care, meets enhanced spaces and reduced ratios. The last annual compliance visit was conducted on 5/2/24. The last fire drill was practiced on 12/19/24. The last shelter-in-place and lockdown drill was practiced on 9/12/24. The last playground inspection was documented on 12/18/24. The last fire inspection, per teachers, was completed sometime after Tropical Storm Helene. However, the inspection posted was dated 1/22/24. I requested Mr. Wolff to submit the new fire inspection via email. The last sanitation inspection was conducted on 1/22/25 with fifteen (15) demerits for a provisional classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Upon arrival, I announced my presence and the purpose of the visit. There were ten (10) children, four-to-five years of age, present with three (3) teachers. The children participated in group time then transitioned to free play. The teachers actively engaged in conversations and conducted small group activities with the children. The teachers reviewed numbers and letters with the children throughout free play time. The children actively played with materials, such as glue and collage materials, housekeeping, pretend animals, magnetic tiles, and other toys. The playground was inspected. No safety hazards were found. Supervision and interaction were copious. No children are on medications. Three (3) existing files were monitored partially for criminal background letters and CPR/First Aid certificate. All staff members have valid letters and certificates. During the visit, space #2 was occupied by a half-day program operated by the Buncombe County Schools. I was unable to inspect the space. Per email sent to me by Mr. Wolff, the space is no longer used by the Community Action Opportunities Head Start program and needed to be removed from the licensed space. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to Tropical Storm Helene, NC Pre-K sites will not be required to complete the site monitoring tool and will not receive annual monitoring from NC Pre-K contractors for FY 2024-2025. The classroom operates from 8:30 a.m. to 3 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 528 Food substitution was not of comparable food value or recorded on the menu prior to the meal or snack being served. During the visit, yogurt, banana and milk were served as breakfast. On the menu, yogurt, strawberry and milk were listed for today's breakfast. No substitution items were listed on the menu. 10A NCAC 09 .0901(b) 1757 A valid qualification letter was not on file and available to review at the facility. N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. G.S. 110-90.2(b) & (d) & .2703(e) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. .0604(u);.0302(d)(8) Technical assistance was provided as follows: 528: Food substitution During the visit, one child had breakfast. The child had yogurt, banana and milk. Yogurt, strawberry and milk were listed on the menu posted for today. Substitution items shall be corrected on the menu prior to serving children. Refer to 10A NCAC 09 .0901(b). 1757: Criminal background letter N. Norris had a criminal background letter issued on 10/4/19, which expired on 10/4/24 in the file. Per AMCMS, Mr./Ms. Norris renewed the background check and was issued a letter through 10/25/29. However, the letter was not printed and maintained in the file. Please print the letter and file it in the staff file. Refer to 10A NCAC 09 .2703(e). 1811: Shelter-in-place/lockdown drill Shelter-in-place or lockdown drills shall be practiced every three months and/or drill record was incomplete. Per Emergency Drill Log, you practiced shelter-in-place and lockdown drill on 9/12/25. You needed to practice the drills again in December 2024. Please conduct the drill within the next two (2) weeks and record the drill on the log. Refer to 10A NCAC 09 .0304(a). Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. 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 legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/12/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013, or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Additional technical assistance was provided as follows. Due to the effects of tropical storm Helene, additional time is permitted to meet the requirements for the following items: Consultation is provided as follows: Annual compliance (AC) visit: Due to the effects of Tropical Storm Helene, your routine unannounced visit was conducted on a delayed schedule. As a result, there will be shorter time before the next visit, AC visit will be conducted. Your AC visit will be conducted prior to 5/2/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. New and terminated staff notification requirement: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013 or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0604 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0607 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1101 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1801 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-105 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 5/2/2024 Number Present: 14 Completed Date: 5/2/2024 Age: From 3 To 5 Total Minutes: 200 Time In: 09:40 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An a computerized generated copy of the visit summary was left with you. Bridget Hambrook, Lead Teacher, was on-site and available during the visit. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percentage (92%) as of 4/30/2024. The North Carolina Secretary of State website was viewed prior to today’s visit and the Non-Profit Corporation, Community Action Opportunities, is current/active as of 4/30/2024. Permit type – Four (4) Star Rated License, issued 2/25/2023. Special Services/Restrictions – First shift (daytime care), meets enhance space, and meets reduced ratios. The last annual compliance visit was conducted on 5/12/2023. The last fire drill was practiced on 4/30/2024. The last shelter-in-place drill was practiced on 3/6/2024. The last playground inspection was documented on 4/17/2024. The last fire inspection was approved on 2/23/2023. The fire inspection completed on 1/22/2024 was marked unsatisfactory. The last sanitation inspection was conducted on 1/25/2024 with four (4) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is The Creative Curriculum. Upon arrival, I was greeted by the lead teacher and teacher assistant. I observed the group with three- to five-year-old children engaged free choice center play with blocks, dramatic play, free art, and Mr. Potato head. While monitoring the indoor space, I observed one (1) toxic plant sitting on top of the puzzle shelf in front of the window. The teacher moved the plant to the of the storage shelf until the end of the day. The lead teacher rang a bell giving a five (5) minute warning before clean up. When the five (5) minutes was up, the children began cleaning up. Once cleaned up the children went to the carpet. When all the children were at the carpet, the lead teacher began to lead the children in a shake the sillies out exercise prior to going to the book mobile. The lead teacher reviewed the rules for the book mobile with the children and began to call the children by colors of clothing to line up. When all the children were in line, the teacher assistant began conduct the name to face recognition procedure prior to exiting the classroom. At 10:37a, the children arrived at the book mobile. The children and staff entered the book mobile and gathered in the group time area at the back of the book mobile. The librarian lead the children in a rhyming word activity, read a story, and then dismissed the children to begin to find a book to check out. At 10:57a, the children exited the book mobile and lined up beside the book mobile. Once all children and staff were off the book mobile, the class transitioned to the playground for outdoor gross motor play. After outside gross motor play, the class transitioned indoors to wash hands and gather at the carpet. When group time concluded, the staff and children washed their hands and transitioned to the table for lunch. Lunch today consisted of beef and cheese nachos, pineapple, corn, and milk. After lunch, the children washed hands and went to their cots for nap time. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today. Two (2) children files were monitored today. The classroom operates from 8:30 a.m. to 3:00 p.m. Staff and children’s files were monitored during the visit. I monitored one (1) new staff and one (1) existing staff file was monitored. The staff and training worksheet was received prior to today's visit via email on 3/29/2024. Staff file concerns: Staff member hired 3/25/2024 first two weeks of orientation did not document the required six (6) hours of orientation. The Documentation of Orientation form documented five (5) hours. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. 10A NCAC 09 .0304(a) 807 A safe indoor and outdoor environment was not provided for the children. Active ant mounds were located throughout the playground area during gross motor play. 10A NCAC 09 .0601(a) 823 Toxic plants were accessible to children. Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. .0604(l) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. .1101(a)(b) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. .0607(e) Technical assistance was provided as follows: Item 106 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (a) Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division. -The last approved fire inspection was conducted on 2/23/2023. The fire inspection conducted on 1/22/2024 was marked unsatisfactory. I recommend reviewing the completed fire inspections to ensure that the inspection is approved for day time care and satisfactory. Item 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Active ant mounds were located throughout the playground area during gross motor play. I suggest conducting a daily playground check prior to the children using the playground to ensure not active ant mounds are present. Item 823 Toxic plants were accessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (l) Toxic plants shall be inaccessible to children. A list of toxic plants may be found on the Division's website. -Golden pothos “devils ivy” was located in the classroom on top of the puzzle shelf in front of the window. During the visit, the lead teacher moved it to the top of the storage shelf in the restroom until she is able to take it home. I recommend reviewing the poisonous plant list prior to bringing a plant into the classroom to ensure that the plant is not poisonous to children. Item 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member hired 3/25/2024 first two weeks of orientation totaled five (5) hours instead of the required six (6) hours. I suggest totaling each section on the documentation of orientation form to ensure that it meets the total hours of orientation requirements. Item 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (e) The trained staff shall review the Emergency Preparedness and Response Plan annually, or when information in the plan changes, to ensure all information is current. -The trained staff did not review the EPR plan annually. EPR plan on-site was dated 1/31/2023. I recommend documenting on your calendar when the EPR plan is to be reviewed annually as a reminder to complete the annual review. Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license may be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/16/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Consultation is provided as follows: Today, we discussed the following: -Review the poisonous plant list prior to bring plants into the classroom to ensure they are safe for children. -Treat ant mounds on the playground -First Aid and CPR training for staff member hired 8/12/2022 will expire 10/2024. -Criminal Background Check qualifying letter for staff member hired 8/12/2022 will expire 10/4/2024. -Health and Safety training for staff member hired 5/30/2023 will need to be completed by 5/30/2024. The topic currently not completed is Administration of Medication with standards for parental control. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Bridget Hambrook, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted Nikita Norris, Teacher. The group of three- to five-year-old children were engaged in free choice center play with free art collage thanksgiving plate, legos, puzzles, blocks, foam blocks, and dramatic play. The staff were actively supervising the children by moving about the indoor space, engaging in play and conversations with the children, and working one on one with the children. After free choice center play, the group cleaned up and went to the carpet for music and movement with the freeze dance. Once the music and movement concluded, the group prepared to go outside by putting on their coats and getting in line. Outside, the children engaged in play with the sand and sand toys, balance beam, toy lawn mower, and little tikes cottage. While outdoors, the staff were supervising the children while moving about the outside area. After outside time, the group lined, transitioned indoors to wash hands, and went to the carpet for story time. Lunch today was chicken nuggets, green beans, applesauce, and milk. The last fire drill was practiced on 10/27/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 2/2/2023. The program’s most recent sanitation inspection was completed on 5/23/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and was updated on 8/16/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There is one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. One (1) item was noted while reviewing the staff file, staff member BH hired 5/30/2023 did not have a total of six (6) clock hours of training during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. .1101(a)(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. I suggested printing and posting the activity plan prior to leaving on Friday's afternoons to ensure you are in compliance on Monday morning. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. I suggested reviewing the Documentation of Orientation prior to the first two weeks and six weeks deadlines to ensure that the total of hours documented adds up to the number of hours required. If it does not add up, you will need to provide additional training to ensure you meet the time requirement. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The programs year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - Health and Safety training are in addition to orientation training topics. Training required during the first six (6) weeks of employment must be center specific and in addition to the Health and Safety training requirements. - Staff need to keep a close watch on the opening at the base of the fence outside. There are several areas of concern that could be an issue in the future. I recommend extending the black plastic tubing along the left side of the fence as you enter the playground from the mud kitchen to the back of the fence. Helpful reminders: - Fire drill is due by 11/30/2023. - Emergency Drill is due by 12/31/2023. - Fire inspection is due by 2/2/2024. - Sanitation inspection is due by 5/25/2024. - Staff member NN criminal background check will expire on 10/4/2024. I recommend starting the background check process at least six (6) months in advance to ensure you are in compliance. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .0508 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Bridget Hambrook, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted Nikita Norris, Teacher. The group of three- to five-year-old children were engaged in free choice center play with free art collage thanksgiving plate, legos, puzzles, blocks, foam blocks, and dramatic play. The staff were actively supervising the children by moving about the indoor space, engaging in play and conversations with the children, and working one on one with the children. After free choice center play, the group cleaned up and went to the carpet for music and movement with the freeze dance. Once the music and movement concluded, the group prepared to go outside by putting on their coats and getting in line. Outside, the children engaged in play with the sand and sand toys, balance beam, toy lawn mower, and little tikes cottage. While outdoors, the staff were supervising the children while moving about the outside area. After outside time, the group lined, transitioned indoors to wash hands, and went to the carpet for story time. Lunch today was chicken nuggets, green beans, applesauce, and milk. The last fire drill was practiced on 10/27/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 2/2/2023. The program’s most recent sanitation inspection was completed on 5/23/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and was updated on 8/16/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There is one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. One (1) item was noted while reviewing the staff file, staff member BH hired 5/30/2023 did not have a total of six (6) clock hours of training during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. .1101(a)(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. I suggested printing and posting the activity plan prior to leaving on Friday's afternoons to ensure you are in compliance on Monday morning. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. I suggested reviewing the Documentation of Orientation prior to the first two weeks and six weeks deadlines to ensure that the total of hours documented adds up to the number of hours required. If it does not add up, you will need to provide additional training to ensure you meet the time requirement. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The programs year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - Health and Safety training are in addition to orientation training topics. Training required during the first six (6) weeks of employment must be center specific and in addition to the Health and Safety training requirements. - Staff need to keep a close watch on the opening at the base of the fence outside. There are several areas of concern that could be an issue in the future. I recommend extending the black plastic tubing along the left side of the fence as you enter the playground from the mud kitchen to the back of the fence. Helpful reminders: - Fire drill is due by 11/30/2023. - Emergency Drill is due by 12/31/2023. - Fire inspection is due by 2/2/2024. - Sanitation inspection is due by 5/25/2024. - Staff member NN criminal background check will expire on 10/4/2024. I recommend starting the background check process at least six (6) months in advance to ensure you are in compliance. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Bridget Hambrook, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted Nikita Norris, Teacher. The group of three- to five-year-old children were engaged in free choice center play with free art collage thanksgiving plate, legos, puzzles, blocks, foam blocks, and dramatic play. The staff were actively supervising the children by moving about the indoor space, engaging in play and conversations with the children, and working one on one with the children. After free choice center play, the group cleaned up and went to the carpet for music and movement with the freeze dance. Once the music and movement concluded, the group prepared to go outside by putting on their coats and getting in line. Outside, the children engaged in play with the sand and sand toys, balance beam, toy lawn mower, and little tikes cottage. While outdoors, the staff were supervising the children while moving about the outside area. After outside time, the group lined, transitioned indoors to wash hands, and went to the carpet for story time. Lunch today was chicken nuggets, green beans, applesauce, and milk. The last fire drill was practiced on 10/27/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 2/2/2023. The program’s most recent sanitation inspection was completed on 5/23/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and was updated on 8/16/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There is one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. One (1) item was noted while reviewing the staff file, staff member BH hired 5/30/2023 did not have a total of six (6) clock hours of training during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. .1101(a)(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. I suggested printing and posting the activity plan prior to leaving on Friday's afternoons to ensure you are in compliance on Monday morning. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. I suggested reviewing the Documentation of Orientation prior to the first two weeks and six weeks deadlines to ensure that the total of hours documented adds up to the number of hours required. If it does not add up, you will need to provide additional training to ensure you meet the time requirement. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The programs year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - Health and Safety training are in addition to orientation training topics. Training required during the first six (6) weeks of employment must be center specific and in addition to the Health and Safety training requirements. - Staff need to keep a close watch on the opening at the base of the fence outside. There are several areas of concern that could be an issue in the future. I recommend extending the black plastic tubing along the left side of the fence as you enter the playground from the mud kitchen to the back of the fence. Helpful reminders: - Fire drill is due by 11/30/2023. - Emergency Drill is due by 12/31/2023. - Fire inspection is due by 2/2/2024. - Sanitation inspection is due by 5/25/2024. - Staff member NN criminal background check will expire on 10/4/2024. I recommend starting the background check process at least six (6) months in advance to ensure you are in compliance. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1101 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Bridget Hambrook, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted Nikita Norris, Teacher. The group of three- to five-year-old children were engaged in free choice center play with free art collage thanksgiving plate, legos, puzzles, blocks, foam blocks, and dramatic play. The staff were actively supervising the children by moving about the indoor space, engaging in play and conversations with the children, and working one on one with the children. After free choice center play, the group cleaned up and went to the carpet for music and movement with the freeze dance. Once the music and movement concluded, the group prepared to go outside by putting on their coats and getting in line. Outside, the children engaged in play with the sand and sand toys, balance beam, toy lawn mower, and little tikes cottage. While outdoors, the staff were supervising the children while moving about the outside area. After outside time, the group lined, transitioned indoors to wash hands, and went to the carpet for story time. Lunch today was chicken nuggets, green beans, applesauce, and milk. The last fire drill was practiced on 10/27/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 2/2/2023. The program’s most recent sanitation inspection was completed on 5/23/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and was updated on 8/16/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There is one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. One (1) item was noted while reviewing the staff file, staff member BH hired 5/30/2023 did not have a total of six (6) clock hours of training during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. .1101(a)(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. I suggested printing and posting the activity plan prior to leaving on Friday's afternoons to ensure you are in compliance on Monday morning. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. I suggested reviewing the Documentation of Orientation prior to the first two weeks and six weeks deadlines to ensure that the total of hours documented adds up to the number of hours required. If it does not add up, you will need to provide additional training to ensure you meet the time requirement. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The programs year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - Health and Safety training are in addition to orientation training topics. Training required during the first six (6) weeks of employment must be center specific and in addition to the Health and Safety training requirements. - Staff need to keep a close watch on the opening at the base of the fence outside. There are several areas of concern that could be an issue in the future. I recommend extending the black plastic tubing along the left side of the fence as you enter the playground from the mud kitchen to the back of the fence. Helpful reminders: - Fire drill is due by 11/30/2023. - Emergency Drill is due by 12/31/2023. - Fire inspection is due by 2/2/2024. - Sanitation inspection is due by 5/25/2024. - Staff member NN criminal background check will expire on 10/4/2024. I recommend starting the background check process at least six (6) months in advance to ensure you are in compliance. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1102 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Bridget Hambrook, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted Nikita Norris, Teacher. The group of three- to five-year-old children were engaged in free choice center play with free art collage thanksgiving plate, legos, puzzles, blocks, foam blocks, and dramatic play. The staff were actively supervising the children by moving about the indoor space, engaging in play and conversations with the children, and working one on one with the children. After free choice center play, the group cleaned up and went to the carpet for music and movement with the freeze dance. Once the music and movement concluded, the group prepared to go outside by putting on their coats and getting in line. Outside, the children engaged in play with the sand and sand toys, balance beam, toy lawn mower, and little tikes cottage. While outdoors, the staff were supervising the children while moving about the outside area. After outside time, the group lined, transitioned indoors to wash hands, and went to the carpet for story time. Lunch today was chicken nuggets, green beans, applesauce, and milk. The last fire drill was practiced on 10/27/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 2/2/2023. The program’s most recent sanitation inspection was completed on 5/23/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and was updated on 8/16/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There is one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. One (1) item was noted while reviewing the staff file, staff member BH hired 5/30/2023 did not have a total of six (6) clock hours of training during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. .1101(a)(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. I suggested printing and posting the activity plan prior to leaving on Friday's afternoons to ensure you are in compliance on Monday morning. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. I suggested reviewing the Documentation of Orientation prior to the first two weeks and six weeks deadlines to ensure that the total of hours documented adds up to the number of hours required. If it does not add up, you will need to provide additional training to ensure you meet the time requirement. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The programs year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - Health and Safety training are in addition to orientation training topics. Training required during the first six (6) weeks of employment must be center specific and in addition to the Health and Safety training requirements. - Staff need to keep a close watch on the opening at the base of the fence outside. There are several areas of concern that could be an issue in the future. I recommend extending the black plastic tubing along the left side of the fence as you enter the playground from the mud kitchen to the back of the fence. Helpful reminders: - Fire drill is due by 11/30/2023. - Emergency Drill is due by 12/31/2023. - Fire inspection is due by 2/2/2024. - Sanitation inspection is due by 5/25/2024. - Staff member NN criminal background check will expire on 10/4/2024. I recommend starting the background check process at least six (6) months in advance to ensure you are in compliance. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1703 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Bridget Hambrook, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted Nikita Norris, Teacher. The group of three- to five-year-old children were engaged in free choice center play with free art collage thanksgiving plate, legos, puzzles, blocks, foam blocks, and dramatic play. The staff were actively supervising the children by moving about the indoor space, engaging in play and conversations with the children, and working one on one with the children. After free choice center play, the group cleaned up and went to the carpet for music and movement with the freeze dance. Once the music and movement concluded, the group prepared to go outside by putting on their coats and getting in line. Outside, the children engaged in play with the sand and sand toys, balance beam, toy lawn mower, and little tikes cottage. While outdoors, the staff were supervising the children while moving about the outside area. After outside time, the group lined, transitioned indoors to wash hands, and went to the carpet for story time. Lunch today was chicken nuggets, green beans, applesauce, and milk. The last fire drill was practiced on 10/27/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 2/2/2023. The program’s most recent sanitation inspection was completed on 5/23/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and was updated on 8/16/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There is one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. One (1) item was noted while reviewing the staff file, staff member BH hired 5/30/2023 did not have a total of six (6) clock hours of training during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. .1101(a)(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. I suggested printing and posting the activity plan prior to leaving on Friday's afternoons to ensure you are in compliance on Monday morning. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. I suggested reviewing the Documentation of Orientation prior to the first two weeks and six weeks deadlines to ensure that the total of hours documented adds up to the number of hours required. If it does not add up, you will need to provide additional training to ensure you meet the time requirement. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The programs year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - Health and Safety training are in addition to orientation training topics. Training required during the first six (6) weeks of employment must be center specific and in addition to the Health and Safety training requirements. - Staff need to keep a close watch on the opening at the base of the fence outside. There are several areas of concern that could be an issue in the future. I recommend extending the black plastic tubing along the left side of the fence as you enter the playground from the mud kitchen to the back of the fence. Helpful reminders: - Fire drill is due by 11/30/2023. - Emergency Drill is due by 12/31/2023. - Fire inspection is due by 2/2/2024. - Sanitation inspection is due by 5/25/2024. - Staff member NN criminal background check will expire on 10/4/2024. I recommend starting the background check process at least six (6) months in advance to ensure you are in compliance. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .1801 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Bridget Hambrook, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted Nikita Norris, Teacher. The group of three- to five-year-old children were engaged in free choice center play with free art collage thanksgiving plate, legos, puzzles, blocks, foam blocks, and dramatic play. The staff were actively supervising the children by moving about the indoor space, engaging in play and conversations with the children, and working one on one with the children. After free choice center play, the group cleaned up and went to the carpet for music and movement with the freeze dance. Once the music and movement concluded, the group prepared to go outside by putting on their coats and getting in line. Outside, the children engaged in play with the sand and sand toys, balance beam, toy lawn mower, and little tikes cottage. While outdoors, the staff were supervising the children while moving about the outside area. After outside time, the group lined, transitioned indoors to wash hands, and went to the carpet for story time. Lunch today was chicken nuggets, green beans, applesauce, and milk. The last fire drill was practiced on 10/27/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 2/2/2023. The program’s most recent sanitation inspection was completed on 5/23/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and was updated on 8/16/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There is one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. One (1) item was noted while reviewing the staff file, staff member BH hired 5/30/2023 did not have a total of six (6) clock hours of training during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. .1101(a)(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. I suggested printing and posting the activity plan prior to leaving on Friday's afternoons to ensure you are in compliance on Monday morning. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. I suggested reviewing the Documentation of Orientation prior to the first two weeks and six weeks deadlines to ensure that the total of hours documented adds up to the number of hours required. If it does not add up, you will need to provide additional training to ensure you meet the time requirement. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The programs year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - Health and Safety training are in addition to orientation training topics. Training required during the first six (6) weeks of employment must be center specific and in addition to the Health and Safety training requirements. - Staff need to keep a close watch on the opening at the base of the fence outside. There are several areas of concern that could be an issue in the future. I recommend extending the black plastic tubing along the left side of the fence as you enter the playground from the mud kitchen to the back of the fence. Helpful reminders: - Fire drill is due by 11/30/2023. - Emergency Drill is due by 12/31/2023. - Fire inspection is due by 2/2/2024. - Sanitation inspection is due by 5/25/2024. - Staff member NN criminal background check will expire on 10/4/2024. I recommend starting the background check process at least six (6) months in advance to ensure you are in compliance. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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 .2830 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Bridget Hambrook, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted Nikita Norris, Teacher. The group of three- to five-year-old children were engaged in free choice center play with free art collage thanksgiving plate, legos, puzzles, blocks, foam blocks, and dramatic play. The staff were actively supervising the children by moving about the indoor space, engaging in play and conversations with the children, and working one on one with the children. After free choice center play, the group cleaned up and went to the carpet for music and movement with the freeze dance. Once the music and movement concluded, the group prepared to go outside by putting on their coats and getting in line. Outside, the children engaged in play with the sand and sand toys, balance beam, toy lawn mower, and little tikes cottage. While outdoors, the staff were supervising the children while moving about the outside area. After outside time, the group lined, transitioned indoors to wash hands, and went to the carpet for story time. Lunch today was chicken nuggets, green beans, applesauce, and milk. The last fire drill was practiced on 10/27/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 2/2/2023. The program’s most recent sanitation inspection was completed on 5/23/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and was updated on 8/16/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There is one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. One (1) item was noted while reviewing the staff file, staff member BH hired 5/30/2023 did not have a total of six (6) clock hours of training during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. .1101(a)(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. I suggested printing and posting the activity plan prior to leaving on Friday's afternoons to ensure you are in compliance on Monday morning. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. I suggested reviewing the Documentation of Orientation prior to the first two weeks and six weeks deadlines to ensure that the total of hours documented adds up to the number of hours required. If it does not add up, you will need to provide additional training to ensure you meet the time requirement. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The programs year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - Health and Safety training are in addition to orientation training topics. Training required during the first six (6) weeks of employment must be center specific and in addition to the Health and Safety training requirements. - Staff need to keep a close watch on the opening at the base of the fence outside. There are several areas of concern that could be an issue in the future. I recommend extending the black plastic tubing along the left side of the fence as you enter the playground from the mud kitchen to the back of the fence. Helpful reminders: - Fire drill is due by 11/30/2023. - Emergency Drill is due by 12/31/2023. - Fire inspection is due by 2/2/2024. - Sanitation inspection is due by 5/25/2024. - Staff member NN criminal background check will expire on 10/4/2024. I recommend starting the background check process at least six (6) months in advance to ensure you are in compliance. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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. 110-105 · Violation

Name of Operation: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Bridget Hambrook, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted Nikita Norris, Teacher. The group of three- to five-year-old children were engaged in free choice center play with free art collage thanksgiving plate, legos, puzzles, blocks, foam blocks, and dramatic play. The staff were actively supervising the children by moving about the indoor space, engaging in play and conversations with the children, and working one on one with the children. After free choice center play, the group cleaned up and went to the carpet for music and movement with the freeze dance. Once the music and movement concluded, the group prepared to go outside by putting on their coats and getting in line. Outside, the children engaged in play with the sand and sand toys, balance beam, toy lawn mower, and little tikes cottage. While outdoors, the staff were supervising the children while moving about the outside area. After outside time, the group lined, transitioned indoors to wash hands, and went to the carpet for story time. Lunch today was chicken nuggets, green beans, applesauce, and milk. The last fire drill was practiced on 10/27/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 2/2/2023. The program’s most recent sanitation inspection was completed on 5/23/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and was updated on 8/16/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There is one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. One (1) item was noted while reviewing the staff file, staff member BH hired 5/30/2023 did not have a total of six (6) clock hours of training during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. .1101(a)(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. I suggested printing and posting the activity plan prior to leaving on Friday's afternoons to ensure you are in compliance on Monday morning. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. I suggested reviewing the Documentation of Orientation prior to the first two weeks and six weeks deadlines to ensure that the total of hours documented adds up to the number of hours required. If it does not add up, you will need to provide additional training to ensure you meet the time requirement. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The programs year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - Health and Safety training are in addition to orientation training topics. Training required during the first six (6) weeks of employment must be center specific and in addition to the Health and Safety training requirements. - Staff need to keep a close watch on the opening at the base of the fence outside. There are several areas of concern that could be an issue in the future. I recommend extending the black plastic tubing along the left side of the fence as you enter the playground from the mud kitchen to the back of the fence. Helpful reminders: - Fire drill is due by 11/30/2023. - Emergency Drill is due by 12/31/2023. - Fire inspection is due by 2/2/2024. - Sanitation inspection is due by 5/25/2024. - Staff member NN criminal background check will expire on 10/4/2024. I recommend starting the background check process at least six (6) months in advance to ensure you are in compliance. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Bridget Hambrook, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted Nikita Norris, Teacher. The group of three- to five-year-old children were engaged in free choice center play with free art collage thanksgiving plate, legos, puzzles, blocks, foam blocks, and dramatic play. The staff were actively supervising the children by moving about the indoor space, engaging in play and conversations with the children, and working one on one with the children. After free choice center play, the group cleaned up and went to the carpet for music and movement with the freeze dance. Once the music and movement concluded, the group prepared to go outside by putting on their coats and getting in line. Outside, the children engaged in play with the sand and sand toys, balance beam, toy lawn mower, and little tikes cottage. While outdoors, the staff were supervising the children while moving about the outside area. After outside time, the group lined, transitioned indoors to wash hands, and went to the carpet for story time. Lunch today was chicken nuggets, green beans, applesauce, and milk. The last fire drill was practiced on 10/27/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 2/2/2023. The program’s most recent sanitation inspection was completed on 5/23/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and was updated on 8/16/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There is one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. One (1) item was noted while reviewing the staff file, staff member BH hired 5/30/2023 did not have a total of six (6) clock hours of training during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. .1101(a)(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. I suggested printing and posting the activity plan prior to leaving on Friday's afternoons to ensure you are in compliance on Monday morning. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. I suggested reviewing the Documentation of Orientation prior to the first two weeks and six weeks deadlines to ensure that the total of hours documented adds up to the number of hours required. If it does not add up, you will need to provide additional training to ensure you meet the time requirement. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The programs year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - Health and Safety training are in addition to orientation training topics. Training required during the first six (6) weeks of employment must be center specific and in addition to the Health and Safety training requirements. - Staff need to keep a close watch on the opening at the base of the fence outside. There are several areas of concern that could be an issue in the future. I recommend extending the black plastic tubing along the left side of the fence as you enter the playground from the mud kitchen to the back of the fence. Helpful reminders: - Fire drill is due by 11/30/2023. - Emergency Drill is due by 12/31/2023. - Fire inspection is due by 2/2/2024. - Sanitation inspection is due by 5/25/2024. - Staff member NN criminal background check will expire on 10/4/2024. I recommend starting the background check process at least six (6) months in advance to ensure you are in compliance. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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: AVERY'S CREEK HEAD START Facility ID: 11000927 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/20/2023 Number Present: 12 Completed Date: 11/20/2023 Age: From 3 To 5 Total Minutes: 140 Time In: 10:00 AM Time Out: 12:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Bridget Hambrook, Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Four (4) Star Rated License, issued 6/8/2022 with restrictions as follows: first shift, meets enhanced ratios, and enhanced space. Bridget Hambrook, Lead Teacher, was available to assist with questions. The program’s annual compliance visit was conducted on 5/12/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I greeted Nikita Norris, Teacher. The group of three- to five-year-old children were engaged in free choice center play with free art collage thanksgiving plate, legos, puzzles, blocks, foam blocks, and dramatic play. The staff were actively supervising the children by moving about the indoor space, engaging in play and conversations with the children, and working one on one with the children. After free choice center play, the group cleaned up and went to the carpet for music and movement with the freeze dance. Once the music and movement concluded, the group prepared to go outside by putting on their coats and getting in line. Outside, the children engaged in play with the sand and sand toys, balance beam, toy lawn mower, and little tikes cottage. While outdoors, the staff were supervising the children while moving about the outside area. After outside time, the group lined, transitioned indoors to wash hands, and went to the carpet for story time. Lunch today was chicken nuggets, green beans, applesauce, and milk. The last fire drill was practiced on 10/27/2023. The last emergency drill, lockdown drill, was practiced on 9/8/2023. The last fire inspection was approved on 2/2/2023. The program’s most recent sanitation inspection was completed on 5/23/2023, with four (4) demerits. The Emergency Medical Care Plan is posted and was updated on 8/16/2023. Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, Special Training including Health and Safety Training and Criminal Background Checks. There is one (1) new staff member since the last annual compliance visit. The staff and training worksheet was completed for the new staff member files that were monitored. One (1) item was noted while reviewing the staff file, staff member BH hired 5/30/2023 did not have a total of six (6) clock hours of training during the first two (2) weeks of employment. The following violations of child care requirements were observed today: Violation Number Comment Rule 428 A current activity plan was not posted for each group of children for reference. Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. GS 110-91(12); .0508(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. .1101(a)(b) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/4/2023. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item # 428 A current activity plan was not posted for each group of children for reference. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. -Current activity plan was not posted for reference. The activity plan posted was dated 10/16/23-10/20/23 and stated to continue for week 10/24/23- 10/28/23. I suggested printing and posting the activity plan prior to leaving on Friday's afternoons to ensure you are in compliance on Monday morning. Item #1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment: Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan; Adequate supervision of children in accordance with 10A NCAC 09 .1801; Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment; Prevention and control of infectious diseases, including immunization. New staff orientation within first six (6) weeks of employment Firsthand observation of the center's daily operations; Instruction in the employee's assigned duties; Instruction in the maintenance of a safe and healthy environment; Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; Review of the center's purposes and goals; Review of the child care licensing law and rules; Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment; An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource; An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations; Prevention of and response to emergencies due to food and allergic reactions; Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. -Staff member BH hired 5/30/23 did not complete six (6) clock hours of training within the first two weeks of employment. The Documentation of Orientation documented a total of five (5) hours. I suggested reviewing the Documentation of Orientation prior to the first two weeks and six weeks deadlines to ensure that the total of hours documented adds up to the number of hours required. If it does not add up, you will need to provide additional training to ensure you meet the time requirement. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 3 for rated license reassessments. The programs year of preparation will begin 7/1/2025 and end 6/30/2026. The assessment year will begin 7/1/2026 and end 6/30/2027. - We discussed that ncrlap.org has new self-paced training modules online that staff can review to refresh and prepare for the upcoming assessment. Also, I recommended reaching out to Buncombe County Partnership for Children for technical assistance to prepare. - Health and Safety training are in addition to orientation training topics. Training required during the first six (6) weeks of employment must be center specific and in addition to the Health and Safety training requirements. - Staff need to keep a close watch on the opening at the base of the fence outside. There are several areas of concern that could be an issue in the future. I recommend extending the black plastic tubing along the left side of the fence as you enter the playground from the mud kitchen to the back of the fence. Helpful reminders: - Fire drill is due by 11/30/2023. - Emergency Drill is due by 12/31/2023. - Fire inspection is due by 2/2/2024. - Sanitation inspection is due by 5/25/2024. - Staff member NN criminal background check will expire on 10/4/2024. I recommend starting the background check process at least six (6) months in advance to ensure you are in compliance. If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify me, may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Challenging behaviors helpline can be reached at 1-888-600-1685 Option 1. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@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