10A NCAC 09 .0601 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 13 Completed Date: 1/7/2026 Age: From 3 To 5 Total Minutes: 210 Time In: 10:15 AM Time Out: 01:45 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 Carolyn Potts, Lead Teacher, Shawn Wolff, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Carolyn Potts, Lead Teacher was available during the visit. Shawn Wolff, Administrator arrived on-site at 12:45p. 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 percent (93%) as of 12/29/2025. 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 12/29/2025. Permit type – Five (5) Star Rated License, issued 4/10/2025. Special Services/Restrictions – first shift, no children under three years old, meets enhanced space, The last annual compliance visit was conducted on 1/16/2025. The last fire drill was practiced on 12/16/2025. The last shelter-in-place drill was practiced on 12/16/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 9/24/2025. The last sanitation inspection was conducted on 9/23/2025 with four (4) demerits for a superior classification. Lead water testing was completed on 7/4/2024. Lead paint and asbestos testing was completed on 3/18/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I signed in at the front office and walked down to the playground. Once I arrived at the playground, I was greeted by Ms. Potts. The group of three to five year old children were engaged in gross motor play with coupe car, riding toys, shovels, buckets, and digging. Three (3) staff members were moving about the outdoor environment supervising the children. At 10:55a the group transitioned to the classroom. Once in the classroom the children put away their coats and rain boots. Then transitioned to wash hands and music and movement. One (1) staff member cleaned and prepped the tables for lunch, while two (2) staff members engaged in music and movement with the children. When music and movement concluded, the children and staff washed their hands for lunch. The lunch consisted of chicken burrito, peaches and apple slices, corn, and milk. The menu posted documented turkey and ham on brioche, peaches, tater tots, and milk. The staff updated the menu posted to reflect the meal that was served prior to serving to the children. After lunch, the children used the restroom, washed their hands, and transitioned to their cots for nap. The staff used natural lighting to light the room, calming soft music to assist the children with resting, staff assisted those who needed extra assistance by rubbing their backs, and those who did not want to sleep was offered a book or quiet activity on their cot. 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 7:30a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/10/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 10, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. e center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. .0607(g) Technical assistance was provided as follows: Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard. We discussed that these items would need to be removed and stored in the playground storage unit not accessible to children. The staff removed these items during the visit. Rule Reference: .0601(a) Item 840- Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. We discussed alcohol wipes must be locked at all times. The staff member discarded the alcohol wipes during the visit. Rule Reference: 15A NCAC 18A.2820(b) Item 862- Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. We discussed when a new staff member starts in the classroom to review the EMC with the staff member prior to caring for children. The lead teacher reviewed this for EMC with the staff member during the visit. Rule Reference: .0802(a) Item 1034- Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1035- Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1826- Substitute staff member hired 2/26/2024 counted in ratio was not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. The lead teacher reviewed the EPR plan and it’s location during the visit. Rule Reference: .0607(g) Consultation is provided as follows: -We discussed since the program is not owned and operated by the public school system, the facility will need to ensure the program has a printed copy of the Emergency Preparedness and Response plan on-site annually. The plan was housed electronically for review. A hardcopy was printed to have on-site during the visit. - Continue to update the staff roster in the ABCMS portal as new staff members are hired or when current staff members terminate. Always review the list to ensure all staff members are listed including the administrator. 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. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 13 Completed Date: 1/7/2026 Age: From 3 To 5 Total Minutes: 210 Time In: 10:15 AM Time Out: 01:45 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 Carolyn Potts, Lead Teacher, Shawn Wolff, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Carolyn Potts, Lead Teacher was available during the visit. Shawn Wolff, Administrator arrived on-site at 12:45p. 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 percent (93%) as of 12/29/2025. 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 12/29/2025. Permit type – Five (5) Star Rated License, issued 4/10/2025. Special Services/Restrictions – first shift, no children under three years old, meets enhanced space, The last annual compliance visit was conducted on 1/16/2025. The last fire drill was practiced on 12/16/2025. The last shelter-in-place drill was practiced on 12/16/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 9/24/2025. The last sanitation inspection was conducted on 9/23/2025 with four (4) demerits for a superior classification. Lead water testing was completed on 7/4/2024. Lead paint and asbestos testing was completed on 3/18/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I signed in at the front office and walked down to the playground. Once I arrived at the playground, I was greeted by Ms. Potts. The group of three to five year old children were engaged in gross motor play with coupe car, riding toys, shovels, buckets, and digging. Three (3) staff members were moving about the outdoor environment supervising the children. At 10:55a the group transitioned to the classroom. Once in the classroom the children put away their coats and rain boots. Then transitioned to wash hands and music and movement. One (1) staff member cleaned and prepped the tables for lunch, while two (2) staff members engaged in music and movement with the children. When music and movement concluded, the children and staff washed their hands for lunch. The lunch consisted of chicken burrito, peaches and apple slices, corn, and milk. The menu posted documented turkey and ham on brioche, peaches, tater tots, and milk. The staff updated the menu posted to reflect the meal that was served prior to serving to the children. After lunch, the children used the restroom, washed their hands, and transitioned to their cots for nap. The staff used natural lighting to light the room, calming soft music to assist the children with resting, staff assisted those who needed extra assistance by rubbing their backs, and those who did not want to sleep was offered a book or quiet activity on their cot. 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 7:30a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/10/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 10, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. e center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. .0607(g) Technical assistance was provided as follows: Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard. We discussed that these items would need to be removed and stored in the playground storage unit not accessible to children. The staff removed these items during the visit. Rule Reference: .0601(a) Item 840- Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. We discussed alcohol wipes must be locked at all times. The staff member discarded the alcohol wipes during the visit. Rule Reference: 15A NCAC 18A.2820(b) Item 862- Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. We discussed when a new staff member starts in the classroom to review the EMC with the staff member prior to caring for children. The lead teacher reviewed this for EMC with the staff member during the visit. Rule Reference: .0802(a) Item 1034- Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1035- Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1826- Substitute staff member hired 2/26/2024 counted in ratio was not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. The lead teacher reviewed the EPR plan and it’s location during the visit. Rule Reference: .0607(g) Consultation is provided as follows: -We discussed since the program is not owned and operated by the public school system, the facility will need to ensure the program has a printed copy of the Emergency Preparedness and Response plan on-site annually. The plan was housed electronically for review. A hardcopy was printed to have on-site during the visit. - Continue to update the staff roster in the ABCMS portal as new staff members are hired or when current staff members terminate. Always review the list to ensure all staff members are listed including the administrator. 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. 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. 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 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 .0802 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 13 Completed Date: 1/7/2026 Age: From 3 To 5 Total Minutes: 210 Time In: 10:15 AM Time Out: 01:45 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 Carolyn Potts, Lead Teacher, Shawn Wolff, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Carolyn Potts, Lead Teacher was available during the visit. Shawn Wolff, Administrator arrived on-site at 12:45p. 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 percent (93%) as of 12/29/2025. 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 12/29/2025. Permit type – Five (5) Star Rated License, issued 4/10/2025. Special Services/Restrictions – first shift, no children under three years old, meets enhanced space, The last annual compliance visit was conducted on 1/16/2025. The last fire drill was practiced on 12/16/2025. The last shelter-in-place drill was practiced on 12/16/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 9/24/2025. The last sanitation inspection was conducted on 9/23/2025 with four (4) demerits for a superior classification. Lead water testing was completed on 7/4/2024. Lead paint and asbestos testing was completed on 3/18/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I signed in at the front office and walked down to the playground. Once I arrived at the playground, I was greeted by Ms. Potts. The group of three to five year old children were engaged in gross motor play with coupe car, riding toys, shovels, buckets, and digging. Three (3) staff members were moving about the outdoor environment supervising the children. At 10:55a the group transitioned to the classroom. Once in the classroom the children put away their coats and rain boots. Then transitioned to wash hands and music and movement. One (1) staff member cleaned and prepped the tables for lunch, while two (2) staff members engaged in music and movement with the children. When music and movement concluded, the children and staff washed their hands for lunch. The lunch consisted of chicken burrito, peaches and apple slices, corn, and milk. The menu posted documented turkey and ham on brioche, peaches, tater tots, and milk. The staff updated the menu posted to reflect the meal that was served prior to serving to the children. After lunch, the children used the restroom, washed their hands, and transitioned to their cots for nap. The staff used natural lighting to light the room, calming soft music to assist the children with resting, staff assisted those who needed extra assistance by rubbing their backs, and those who did not want to sleep was offered a book or quiet activity on their cot. 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 7:30a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/10/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 10, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. e center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. .0607(g) Technical assistance was provided as follows: Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard. We discussed that these items would need to be removed and stored in the playground storage unit not accessible to children. The staff removed these items during the visit. Rule Reference: .0601(a) Item 840- Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. We discussed alcohol wipes must be locked at all times. The staff member discarded the alcohol wipes during the visit. Rule Reference: 15A NCAC 18A.2820(b) Item 862- Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. We discussed when a new staff member starts in the classroom to review the EMC with the staff member prior to caring for children. The lead teacher reviewed this for EMC with the staff member during the visit. Rule Reference: .0802(a) Item 1034- Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1035- Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1826- Substitute staff member hired 2/26/2024 counted in ratio was not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. The lead teacher reviewed the EPR plan and it’s location during the visit. Rule Reference: .0607(g) Consultation is provided as follows: -We discussed since the program is not owned and operated by the public school system, the facility will need to ensure the program has a printed copy of the Emergency Preparedness and Response plan on-site annually. The plan was housed electronically for review. A hardcopy was printed to have on-site during the visit. - Continue to update the staff roster in the ABCMS portal as new staff members are hired or when current staff members terminate. Always review the list to ensure all staff members are listed including the administrator. 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. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 13 Completed Date: 1/7/2026 Age: From 3 To 5 Total Minutes: 210 Time In: 10:15 AM Time Out: 01:45 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 Carolyn Potts, Lead Teacher, Shawn Wolff, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Carolyn Potts, Lead Teacher was available during the visit. Shawn Wolff, Administrator arrived on-site at 12:45p. 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 percent (93%) as of 12/29/2025. 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 12/29/2025. Permit type – Five (5) Star Rated License, issued 4/10/2025. Special Services/Restrictions – first shift, no children under three years old, meets enhanced space, The last annual compliance visit was conducted on 1/16/2025. The last fire drill was practiced on 12/16/2025. The last shelter-in-place drill was practiced on 12/16/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 9/24/2025. The last sanitation inspection was conducted on 9/23/2025 with four (4) demerits for a superior classification. Lead water testing was completed on 7/4/2024. Lead paint and asbestos testing was completed on 3/18/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I signed in at the front office and walked down to the playground. Once I arrived at the playground, I was greeted by Ms. Potts. The group of three to five year old children were engaged in gross motor play with coupe car, riding toys, shovels, buckets, and digging. Three (3) staff members were moving about the outdoor environment supervising the children. At 10:55a the group transitioned to the classroom. Once in the classroom the children put away their coats and rain boots. Then transitioned to wash hands and music and movement. One (1) staff member cleaned and prepped the tables for lunch, while two (2) staff members engaged in music and movement with the children. When music and movement concluded, the children and staff washed their hands for lunch. The lunch consisted of chicken burrito, peaches and apple slices, corn, and milk. The menu posted documented turkey and ham on brioche, peaches, tater tots, and milk. The staff updated the menu posted to reflect the meal that was served prior to serving to the children. After lunch, the children used the restroom, washed their hands, and transitioned to their cots for nap. The staff used natural lighting to light the room, calming soft music to assist the children with resting, staff assisted those who needed extra assistance by rubbing their backs, and those who did not want to sleep was offered a book or quiet activity on their cot. 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 7:30a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/10/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 10, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. e center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. .0607(g) Technical assistance was provided as follows: Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard. We discussed that these items would need to be removed and stored in the playground storage unit not accessible to children. The staff removed these items during the visit. Rule Reference: .0601(a) Item 840- Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. We discussed alcohol wipes must be locked at all times. The staff member discarded the alcohol wipes during the visit. Rule Reference: 15A NCAC 18A.2820(b) Item 862- Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. We discussed when a new staff member starts in the classroom to review the EMC with the staff member prior to caring for children. The lead teacher reviewed this for EMC with the staff member during the visit. Rule Reference: .0802(a) Item 1034- Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1035- Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1826- Substitute staff member hired 2/26/2024 counted in ratio was not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. The lead teacher reviewed the EPR plan and it’s location during the visit. Rule Reference: .0607(g) Consultation is provided as follows: -We discussed since the program is not owned and operated by the public school system, the facility will need to ensure the program has a printed copy of the Emergency Preparedness and Response plan on-site annually. The plan was housed electronically for review. A hardcopy was printed to have on-site during the visit. - Continue to update the staff roster in the ABCMS portal as new staff members are hired or when current staff members terminate. Always review the list to ensure all staff members are listed including the administrator. 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. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 13 Completed Date: 1/7/2026 Age: From 3 To 5 Total Minutes: 210 Time In: 10:15 AM Time Out: 01:45 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 Carolyn Potts, Lead Teacher, Shawn Wolff, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Carolyn Potts, Lead Teacher was available during the visit. Shawn Wolff, Administrator arrived on-site at 12:45p. 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 percent (93%) as of 12/29/2025. 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 12/29/2025. Permit type – Five (5) Star Rated License, issued 4/10/2025. Special Services/Restrictions – first shift, no children under three years old, meets enhanced space, The last annual compliance visit was conducted on 1/16/2025. The last fire drill was practiced on 12/16/2025. The last shelter-in-place drill was practiced on 12/16/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 9/24/2025. The last sanitation inspection was conducted on 9/23/2025 with four (4) demerits for a superior classification. Lead water testing was completed on 7/4/2024. Lead paint and asbestos testing was completed on 3/18/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I signed in at the front office and walked down to the playground. Once I arrived at the playground, I was greeted by Ms. Potts. The group of three to five year old children were engaged in gross motor play with coupe car, riding toys, shovels, buckets, and digging. Three (3) staff members were moving about the outdoor environment supervising the children. At 10:55a the group transitioned to the classroom. Once in the classroom the children put away their coats and rain boots. Then transitioned to wash hands and music and movement. One (1) staff member cleaned and prepped the tables for lunch, while two (2) staff members engaged in music and movement with the children. When music and movement concluded, the children and staff washed their hands for lunch. The lunch consisted of chicken burrito, peaches and apple slices, corn, and milk. The menu posted documented turkey and ham on brioche, peaches, tater tots, and milk. The staff updated the menu posted to reflect the meal that was served prior to serving to the children. After lunch, the children used the restroom, washed their hands, and transitioned to their cots for nap. The staff used natural lighting to light the room, calming soft music to assist the children with resting, staff assisted those who needed extra assistance by rubbing their backs, and those who did not want to sleep was offered a book or quiet activity on their cot. 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 7:30a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/10/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 10, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. e center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. .0607(g) Technical assistance was provided as follows: Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard. We discussed that these items would need to be removed and stored in the playground storage unit not accessible to children. The staff removed these items during the visit. Rule Reference: .0601(a) Item 840- Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. We discussed alcohol wipes must be locked at all times. The staff member discarded the alcohol wipes during the visit. Rule Reference: 15A NCAC 18A.2820(b) Item 862- Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. We discussed when a new staff member starts in the classroom to review the EMC with the staff member prior to caring for children. The lead teacher reviewed this for EMC with the staff member during the visit. Rule Reference: .0802(a) Item 1034- Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1035- Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1826- Substitute staff member hired 2/26/2024 counted in ratio was not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. The lead teacher reviewed the EPR plan and it’s location during the visit. Rule Reference: .0607(g) Consultation is provided as follows: -We discussed since the program is not owned and operated by the public school system, the facility will need to ensure the program has a printed copy of the Emergency Preparedness and Response plan on-site annually. The plan was housed electronically for review. A hardcopy was printed to have on-site during the visit. - Continue to update the staff roster in the ABCMS portal as new staff members are hired or when current staff members terminate. Always review the list to ensure all staff members are listed including the administrator. 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. 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. 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 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 .3222 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 13 Completed Date: 1/7/2026 Age: From 3 To 5 Total Minutes: 210 Time In: 10:15 AM Time Out: 01:45 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 Carolyn Potts, Lead Teacher, Shawn Wolff, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Carolyn Potts, Lead Teacher was available during the visit. Shawn Wolff, Administrator arrived on-site at 12:45p. 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 percent (93%) as of 12/29/2025. 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 12/29/2025. Permit type – Five (5) Star Rated License, issued 4/10/2025. Special Services/Restrictions – first shift, no children under three years old, meets enhanced space, The last annual compliance visit was conducted on 1/16/2025. The last fire drill was practiced on 12/16/2025. The last shelter-in-place drill was practiced on 12/16/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 9/24/2025. The last sanitation inspection was conducted on 9/23/2025 with four (4) demerits for a superior classification. Lead water testing was completed on 7/4/2024. Lead paint and asbestos testing was completed on 3/18/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I signed in at the front office and walked down to the playground. Once I arrived at the playground, I was greeted by Ms. Potts. The group of three to five year old children were engaged in gross motor play with coupe car, riding toys, shovels, buckets, and digging. Three (3) staff members were moving about the outdoor environment supervising the children. At 10:55a the group transitioned to the classroom. Once in the classroom the children put away their coats and rain boots. Then transitioned to wash hands and music and movement. One (1) staff member cleaned and prepped the tables for lunch, while two (2) staff members engaged in music and movement with the children. When music and movement concluded, the children and staff washed their hands for lunch. The lunch consisted of chicken burrito, peaches and apple slices, corn, and milk. The menu posted documented turkey and ham on brioche, peaches, tater tots, and milk. The staff updated the menu posted to reflect the meal that was served prior to serving to the children. After lunch, the children used the restroom, washed their hands, and transitioned to their cots for nap. The staff used natural lighting to light the room, calming soft music to assist the children with resting, staff assisted those who needed extra assistance by rubbing their backs, and those who did not want to sleep was offered a book or quiet activity on their cot. 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 7:30a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/10/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 10, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. e center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. .0607(g) Technical assistance was provided as follows: Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard. We discussed that these items would need to be removed and stored in the playground storage unit not accessible to children. The staff removed these items during the visit. Rule Reference: .0601(a) Item 840- Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. We discussed alcohol wipes must be locked at all times. The staff member discarded the alcohol wipes during the visit. Rule Reference: 15A NCAC 18A.2820(b) Item 862- Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. We discussed when a new staff member starts in the classroom to review the EMC with the staff member prior to caring for children. The lead teacher reviewed this for EMC with the staff member during the visit. Rule Reference: .0802(a) Item 1034- Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1035- Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1826- Substitute staff member hired 2/26/2024 counted in ratio was not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. The lead teacher reviewed the EPR plan and it’s location during the visit. Rule Reference: .0607(g) Consultation is provided as follows: -We discussed since the program is not owned and operated by the public school system, the facility will need to ensure the program has a printed copy of the Emergency Preparedness and Response plan on-site annually. The plan was housed electronically for review. A hardcopy was printed to have on-site during the visit. - Continue to update the staff roster in the ABCMS portal as new staff members are hired or when current staff members terminate. Always review the list to ensure all staff members are listed including the administrator. 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. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 13 Completed Date: 1/7/2026 Age: From 3 To 5 Total Minutes: 210 Time In: 10:15 AM Time Out: 01:45 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 Carolyn Potts, Lead Teacher, Shawn Wolff, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Carolyn Potts, Lead Teacher was available during the visit. Shawn Wolff, Administrator arrived on-site at 12:45p. 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 percent (93%) as of 12/29/2025. 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 12/29/2025. Permit type – Five (5) Star Rated License, issued 4/10/2025. Special Services/Restrictions – first shift, no children under three years old, meets enhanced space, The last annual compliance visit was conducted on 1/16/2025. The last fire drill was practiced on 12/16/2025. The last shelter-in-place drill was practiced on 12/16/2025. The last playground inspection was documented on 12/1/2025. The last fire inspection was approved on 9/24/2025. The last sanitation inspection was conducted on 9/23/2025 with four (4) demerits for a superior classification. Lead water testing was completed on 7/4/2024. Lead paint and asbestos testing was completed on 3/18/2025. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I signed in at the front office and walked down to the playground. Once I arrived at the playground, I was greeted by Ms. Potts. The group of three to five year old children were engaged in gross motor play with coupe car, riding toys, shovels, buckets, and digging. Three (3) staff members were moving about the outdoor environment supervising the children. At 10:55a the group transitioned to the classroom. Once in the classroom the children put away their coats and rain boots. Then transitioned to wash hands and music and movement. One (1) staff member cleaned and prepped the tables for lunch, while two (2) staff members engaged in music and movement with the children. When music and movement concluded, the children and staff washed their hands for lunch. The lunch consisted of chicken burrito, peaches and apple slices, corn, and milk. The menu posted documented turkey and ham on brioche, peaches, tater tots, and milk. The staff updated the menu posted to reflect the meal that was served prior to serving to the children. After lunch, the children used the restroom, washed their hands, and transitioned to their cots for nap. The staff used natural lighting to light the room, calming soft music to assist the children with resting, staff assisted those who needed extra assistance by rubbing their backs, and those who did not want to sleep was offered a book or quiet activity on their cot. 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 7:30a.m. to 2:00 p.m. Quality Rating and Improvement System (QRIS): The facilities rated license was reassessed on 4/10/2025. The facility is not interested in pursuing a pathway at this time, with the next reassessment due prior to April 10, 2028. In preparation for the next reassessment, I recommend you begin to familiarize yourself with the QRIS modernization pathways. If you choose to voluntarily apply for a rated license reassessment, you may do so at any time prior to your next scheduled reassessment period. 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 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard 10A NCAC 09 .0601(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. .2820(b) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. .0701(a) 1826 Substitutes and volunteers counted in ratio were not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. e center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. .0607(g) Technical assistance was provided as follows: Item 807- Outdoors, I observed the tarp that covered the sand box laying on the ground creating a potential tripping hazard and a black strap was tied to the exterior pole of the fence and hung between the links in the fence creating a potential choking hazard. We discussed that these items would need to be removed and stored in the playground storage unit not accessible to children. The staff removed these items during the visit. Rule Reference: .0601(a) Item 840- Indoors near the food prep sink, I observed two (2) alcohol pads laying on a shelf with the toothbrushes. We discussed alcohol wipes must be locked at all times. The staff member discarded the alcohol wipes during the visit. Rule Reference: 15A NCAC 18A.2820(b) Item 862- Staff member hired 2/26/2024 Emergency Medical Care (EMC) Plan was not reviewed annually or when changes occurred. We discussed when a new staff member starts in the classroom to review the EMC with the staff member prior to caring for children. The lead teacher reviewed this for EMC with the staff member during the visit. Rule Reference: .0802(a) Item 1034- Staff member hired 2/26/2024 health questionnaire was not updated annually. The health questionnaire on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1035- Staff member hired 2/26/2024 emergency information was not updated annually. The emergency information on file was dated 8/16/2024. We discussed when a new staff member starts in the classroom to have the staff completed the required documents prior to caring for children. The staff member corrected this during the visit. Rule Reference: .0701(a) Item 1826- Substitute staff member hired 2/26/2024 counted in ratio was not informed of the center's EPR Plan and its location. Documentation of this notice was not maintained on file or in a file designated for emergency preparedness and response plan documents. The lead teacher reviewed the EPR plan and it’s location during the visit. Rule Reference: .0607(g) Consultation is provided as follows: -We discussed since the program is not owned and operated by the public school system, the facility will need to ensure the program has a printed copy of the Emergency Preparedness and Response plan on-site annually. The plan was housed electronically for review. A hardcopy was printed to have on-site during the visit. - Continue to update the staff roster in the ABCMS portal as new staff members are hired or when current staff members terminate. Always review the list to ensure all staff members are listed including the administrator. 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. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 10 Completed Date: 1/16/2025 Age: From 3 To 5 Total Minutes: 145 Time In: 10:10 AM Time Out: 12:35 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 me, Karla Terry, Child Care Consultant and also signed by Carolyn Plott, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Carolyn Plott, 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 percent (90%) as of 12/27/2024. 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 12/27/2024. Permit type – Five (5) Star Rated License, issued 1/4/2018. Special Services/Restrictions – first shift, no children under three, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 12/18/2024. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. The last shelter-in-place drill was practiced on 9/6/2024. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. The last playground inspection was documented on 1/6/2025. The last fire inspection was approved on 9/24/2024 The last sanitation inspection was conducted on 9/19/2024 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 Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Plott. I observed the group of three- to five-year-old children engaged in free play with light table, dinosaurs, dramatic play, free art, water play, and playdough. After free play, the children transitioned for music and movement. When music and movement concluded, the children began washing hands to prepare for lunch. Lunch today consisted of nachos, pears, corn and milk. After lunch, the children used the restroom and transitioned to nap time. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Additional guidance due to Tropical Storm Helene: The fence height is measuring three (3) feet six (6) inches due to the fence extenders have been blew over due to the high winds of the storm. The facility is currently providing indoor gross motor play, but a timeline will need to be submitted to state when the fence extenders will be re-adjusted to give the required four (4) feet fence height. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members medical report was not on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff members medical report was not on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805 A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #1032- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09 .0701(a) Item #1033- One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1034- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09.0701(a) Item #1035- One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed to update these at the first of the year and put them in your file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1811- A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. We discussed that a drill is required to be completed every three (3) months. If the school does not conduct one, the preschool/Head Start classroom will need to conduct a drill. Rule Reference: 10A NCAC 09.0604(u); .0302(d)(8) 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 1/29/2025. Email the compliance letter on signed letterhead or in 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 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: We discussed the appropriate storage for hazardous products as a reminder for staff to continue to review warning labels on products used in the classroom. 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. 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 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 .0701 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 10 Completed Date: 1/16/2025 Age: From 3 To 5 Total Minutes: 145 Time In: 10:10 AM Time Out: 12:35 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 me, Karla Terry, Child Care Consultant and also signed by Carolyn Plott, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Carolyn Plott, 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 percent (90%) as of 12/27/2024. 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 12/27/2024. Permit type – Five (5) Star Rated License, issued 1/4/2018. Special Services/Restrictions – first shift, no children under three, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 12/18/2024. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. The last shelter-in-place drill was practiced on 9/6/2024. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. The last playground inspection was documented on 1/6/2025. The last fire inspection was approved on 9/24/2024 The last sanitation inspection was conducted on 9/19/2024 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 Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Plott. I observed the group of three- to five-year-old children engaged in free play with light table, dinosaurs, dramatic play, free art, water play, and playdough. After free play, the children transitioned for music and movement. When music and movement concluded, the children began washing hands to prepare for lunch. Lunch today consisted of nachos, pears, corn and milk. After lunch, the children used the restroom and transitioned to nap time. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Additional guidance due to Tropical Storm Helene: The fence height is measuring three (3) feet six (6) inches due to the fence extenders have been blew over due to the high winds of the storm. The facility is currently providing indoor gross motor play, but a timeline will need to be submitted to state when the fence extenders will be re-adjusted to give the required four (4) feet fence height. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members medical report was not on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff members medical report was not on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805 A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #1032- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09 .0701(a) Item #1033- One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1034- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09.0701(a) Item #1035- One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed to update these at the first of the year and put them in your file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1811- A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. We discussed that a drill is required to be completed every three (3) months. If the school does not conduct one, the preschool/Head Start classroom will need to conduct a drill. Rule Reference: 10A NCAC 09.0604(u); .0302(d)(8) 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 1/29/2025. Email the compliance letter on signed letterhead or in 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 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: We discussed the appropriate storage for hazardous products as a reminder for staff to continue to review warning labels on products used in the classroom. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 10 Completed Date: 1/16/2025 Age: From 3 To 5 Total Minutes: 145 Time In: 10:10 AM Time Out: 12:35 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 me, Karla Terry, Child Care Consultant and also signed by Carolyn Plott, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Carolyn Plott, 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 percent (90%) as of 12/27/2024. 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 12/27/2024. Permit type – Five (5) Star Rated License, issued 1/4/2018. Special Services/Restrictions – first shift, no children under three, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 12/18/2024. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. The last shelter-in-place drill was practiced on 9/6/2024. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. The last playground inspection was documented on 1/6/2025. The last fire inspection was approved on 9/24/2024 The last sanitation inspection was conducted on 9/19/2024 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 Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Plott. I observed the group of three- to five-year-old children engaged in free play with light table, dinosaurs, dramatic play, free art, water play, and playdough. After free play, the children transitioned for music and movement. When music and movement concluded, the children began washing hands to prepare for lunch. Lunch today consisted of nachos, pears, corn and milk. After lunch, the children used the restroom and transitioned to nap time. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Additional guidance due to Tropical Storm Helene: The fence height is measuring three (3) feet six (6) inches due to the fence extenders have been blew over due to the high winds of the storm. The facility is currently providing indoor gross motor play, but a timeline will need to be submitted to state when the fence extenders will be re-adjusted to give the required four (4) feet fence height. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members medical report was not on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff members medical report was not on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805 A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #1032- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09 .0701(a) Item #1033- One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1034- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09.0701(a) Item #1035- One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed to update these at the first of the year and put them in your file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1811- A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. We discussed that a drill is required to be completed every three (3) months. If the school does not conduct one, the preschool/Head Start classroom will need to conduct a drill. Rule Reference: 10A NCAC 09.0604(u); .0302(d)(8) 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 1/29/2025. Email the compliance letter on signed letterhead or in 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 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: We discussed the appropriate storage for hazardous products as a reminder for staff to continue to review warning labels on products used in the classroom. 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. 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 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 .0701 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 10 Completed Date: 1/16/2025 Age: From 3 To 5 Total Minutes: 145 Time In: 10:10 AM Time Out: 12:35 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 me, Karla Terry, Child Care Consultant and also signed by Carolyn Plott, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Carolyn Plott, 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 percent (90%) as of 12/27/2024. 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 12/27/2024. Permit type – Five (5) Star Rated License, issued 1/4/2018. Special Services/Restrictions – first shift, no children under three, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 12/18/2024. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. The last shelter-in-place drill was practiced on 9/6/2024. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. The last playground inspection was documented on 1/6/2025. The last fire inspection was approved on 9/24/2024 The last sanitation inspection was conducted on 9/19/2024 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 Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Plott. I observed the group of three- to five-year-old children engaged in free play with light table, dinosaurs, dramatic play, free art, water play, and playdough. After free play, the children transitioned for music and movement. When music and movement concluded, the children began washing hands to prepare for lunch. Lunch today consisted of nachos, pears, corn and milk. After lunch, the children used the restroom and transitioned to nap time. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Additional guidance due to Tropical Storm Helene: The fence height is measuring three (3) feet six (6) inches due to the fence extenders have been blew over due to the high winds of the storm. The facility is currently providing indoor gross motor play, but a timeline will need to be submitted to state when the fence extenders will be re-adjusted to give the required four (4) feet fence height. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members medical report was not on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff members medical report was not on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805 A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #1032- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09 .0701(a) Item #1033- One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1034- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09.0701(a) Item #1035- One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed to update these at the first of the year and put them in your file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1811- A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. We discussed that a drill is required to be completed every three (3) months. If the school does not conduct one, the preschool/Head Start classroom will need to conduct a drill. Rule Reference: 10A NCAC 09.0604(u); .0302(d)(8) 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 1/29/2025. Email the compliance letter on signed letterhead or in 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 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: We discussed the appropriate storage for hazardous products as a reminder for staff to continue to review warning labels on products used in the classroom. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 10 Completed Date: 1/16/2025 Age: From 3 To 5 Total Minutes: 145 Time In: 10:10 AM Time Out: 12:35 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 me, Karla Terry, Child Care Consultant and also signed by Carolyn Plott, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Carolyn Plott, 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 percent (90%) as of 12/27/2024. 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 12/27/2024. Permit type – Five (5) Star Rated License, issued 1/4/2018. Special Services/Restrictions – first shift, no children under three, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 12/18/2024. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. The last shelter-in-place drill was practiced on 9/6/2024. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. The last playground inspection was documented on 1/6/2025. The last fire inspection was approved on 9/24/2024 The last sanitation inspection was conducted on 9/19/2024 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 Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Plott. I observed the group of three- to five-year-old children engaged in free play with light table, dinosaurs, dramatic play, free art, water play, and playdough. After free play, the children transitioned for music and movement. When music and movement concluded, the children began washing hands to prepare for lunch. Lunch today consisted of nachos, pears, corn and milk. After lunch, the children used the restroom and transitioned to nap time. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Additional guidance due to Tropical Storm Helene: The fence height is measuring three (3) feet six (6) inches due to the fence extenders have been blew over due to the high winds of the storm. The facility is currently providing indoor gross motor play, but a timeline will need to be submitted to state when the fence extenders will be re-adjusted to give the required four (4) feet fence height. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members medical report was not on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff members medical report was not on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805 A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #1032- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09 .0701(a) Item #1033- One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1034- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09.0701(a) Item #1035- One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed to update these at the first of the year and put them in your file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1811- A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. We discussed that a drill is required to be completed every three (3) months. If the school does not conduct one, the preschool/Head Start classroom will need to conduct a drill. Rule Reference: 10A NCAC 09.0604(u); .0302(d)(8) 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 1/29/2025. Email the compliance letter on signed letterhead or in 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 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: We discussed the appropriate storage for hazardous products as a reminder for staff to continue to review warning labels on products used in the classroom. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 10 Completed Date: 1/16/2025 Age: From 3 To 5 Total Minutes: 145 Time In: 10:10 AM Time Out: 12:35 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 me, Karla Terry, Child Care Consultant and also signed by Carolyn Plott, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Carolyn Plott, 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 percent (90%) as of 12/27/2024. 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 12/27/2024. Permit type – Five (5) Star Rated License, issued 1/4/2018. Special Services/Restrictions – first shift, no children under three, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 12/18/2024. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. The last shelter-in-place drill was practiced on 9/6/2024. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. The last playground inspection was documented on 1/6/2025. The last fire inspection was approved on 9/24/2024 The last sanitation inspection was conducted on 9/19/2024 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 Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Plott. I observed the group of three- to five-year-old children engaged in free play with light table, dinosaurs, dramatic play, free art, water play, and playdough. After free play, the children transitioned for music and movement. When music and movement concluded, the children began washing hands to prepare for lunch. Lunch today consisted of nachos, pears, corn and milk. After lunch, the children used the restroom and transitioned to nap time. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Additional guidance due to Tropical Storm Helene: The fence height is measuring three (3) feet six (6) inches due to the fence extenders have been blew over due to the high winds of the storm. The facility is currently providing indoor gross motor play, but a timeline will need to be submitted to state when the fence extenders will be re-adjusted to give the required four (4) feet fence height. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members medical report was not on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff members medical report was not on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805 A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #1032- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09 .0701(a) Item #1033- One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1034- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09.0701(a) Item #1035- One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed to update these at the first of the year and put them in your file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1811- A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. We discussed that a drill is required to be completed every three (3) months. If the school does not conduct one, the preschool/Head Start classroom will need to conduct a drill. Rule Reference: 10A NCAC 09.0604(u); .0302(d)(8) 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 1/29/2025. Email the compliance letter on signed letterhead or in 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 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: We discussed the appropriate storage for hazardous products as a reminder for staff to continue to review warning labels on products used in the classroom. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 10 Completed Date: 1/16/2025 Age: From 3 To 5 Total Minutes: 145 Time In: 10:10 AM Time Out: 12:35 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 me, Karla Terry, Child Care Consultant and also signed by Carolyn Plott, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Carolyn Plott, 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 percent (90%) as of 12/27/2024. 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 12/27/2024. Permit type – Five (5) Star Rated License, issued 1/4/2018. Special Services/Restrictions – first shift, no children under three, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 12/18/2024. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. The last shelter-in-place drill was practiced on 9/6/2024. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. The last playground inspection was documented on 1/6/2025. The last fire inspection was approved on 9/24/2024 The last sanitation inspection was conducted on 9/19/2024 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 Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Plott. I observed the group of three- to five-year-old children engaged in free play with light table, dinosaurs, dramatic play, free art, water play, and playdough. After free play, the children transitioned for music and movement. When music and movement concluded, the children began washing hands to prepare for lunch. Lunch today consisted of nachos, pears, corn and milk. After lunch, the children used the restroom and transitioned to nap time. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Additional guidance due to Tropical Storm Helene: The fence height is measuring three (3) feet six (6) inches due to the fence extenders have been blew over due to the high winds of the storm. The facility is currently providing indoor gross motor play, but a timeline will need to be submitted to state when the fence extenders will be re-adjusted to give the required four (4) feet fence height. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members medical report was not on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff members medical report was not on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805 A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #1032- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09 .0701(a) Item #1033- One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1034- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09.0701(a) Item #1035- One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed to update these at the first of the year and put them in your file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1811- A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. We discussed that a drill is required to be completed every three (3) months. If the school does not conduct one, the preschool/Head Start classroom will need to conduct a drill. Rule Reference: 10A NCAC 09.0604(u); .0302(d)(8) 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 1/29/2025. Email the compliance letter on signed letterhead or in 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 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: We discussed the appropriate storage for hazardous products as a reminder for staff to continue to review warning labels on products used in the classroom. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 10 Completed Date: 1/16/2025 Age: From 3 To 5 Total Minutes: 145 Time In: 10:10 AM Time Out: 12:35 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 me, Karla Terry, Child Care Consultant and also signed by Carolyn Plott, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Carolyn Plott, 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 percent (90%) as of 12/27/2024. 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 12/27/2024. Permit type – Five (5) Star Rated License, issued 1/4/2018. Special Services/Restrictions – first shift, no children under three, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 12/18/2024. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. The last shelter-in-place drill was practiced on 9/6/2024. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. The last playground inspection was documented on 1/6/2025. The last fire inspection was approved on 9/24/2024 The last sanitation inspection was conducted on 9/19/2024 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 Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Plott. I observed the group of three- to five-year-old children engaged in free play with light table, dinosaurs, dramatic play, free art, water play, and playdough. After free play, the children transitioned for music and movement. When music and movement concluded, the children began washing hands to prepare for lunch. Lunch today consisted of nachos, pears, corn and milk. After lunch, the children used the restroom and transitioned to nap time. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Additional guidance due to Tropical Storm Helene: The fence height is measuring three (3) feet six (6) inches due to the fence extenders have been blew over due to the high winds of the storm. The facility is currently providing indoor gross motor play, but a timeline will need to be submitted to state when the fence extenders will be re-adjusted to give the required four (4) feet fence height. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members medical report was not on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff members medical report was not on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805 A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #1032- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09 .0701(a) Item #1033- One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1034- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09.0701(a) Item #1035- One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed to update these at the first of the year and put them in your file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1811- A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. We discussed that a drill is required to be completed every three (3) months. If the school does not conduct one, the preschool/Head Start classroom will need to conduct a drill. Rule Reference: 10A NCAC 09.0604(u); .0302(d)(8) 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 1/29/2025. Email the compliance letter on signed letterhead or in 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 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: We discussed the appropriate storage for hazardous products as a reminder for staff to continue to review warning labels on products used in the classroom. 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. 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 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 09.0701 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 10 Completed Date: 1/16/2025 Age: From 3 To 5 Total Minutes: 145 Time In: 10:10 AM Time Out: 12:35 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 me, Karla Terry, Child Care Consultant and also signed by Carolyn Plott, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Carolyn Plott, 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 percent (90%) as of 12/27/2024. 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 12/27/2024. Permit type – Five (5) Star Rated License, issued 1/4/2018. Special Services/Restrictions – first shift, no children under three, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 12/18/2024. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. The last shelter-in-place drill was practiced on 9/6/2024. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. The last playground inspection was documented on 1/6/2025. The last fire inspection was approved on 9/24/2024 The last sanitation inspection was conducted on 9/19/2024 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 Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Plott. I observed the group of three- to five-year-old children engaged in free play with light table, dinosaurs, dramatic play, free art, water play, and playdough. After free play, the children transitioned for music and movement. When music and movement concluded, the children began washing hands to prepare for lunch. Lunch today consisted of nachos, pears, corn and milk. After lunch, the children used the restroom and transitioned to nap time. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Additional guidance due to Tropical Storm Helene: The fence height is measuring three (3) feet six (6) inches due to the fence extenders have been blew over due to the high winds of the storm. The facility is currently providing indoor gross motor play, but a timeline will need to be submitted to state when the fence extenders will be re-adjusted to give the required four (4) feet fence height. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members medical report was not on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff members medical report was not on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805 A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #1032- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09 .0701(a) Item #1033- One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1034- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09.0701(a) Item #1035- One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed to update these at the first of the year and put them in your file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1811- A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. We discussed that a drill is required to be completed every three (3) months. If the school does not conduct one, the preschool/Head Start classroom will need to conduct a drill. Rule Reference: 10A NCAC 09.0604(u); .0302(d)(8) 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 1/29/2025. Email the compliance letter on signed letterhead or in 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 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: We discussed the appropriate storage for hazardous products as a reminder for staff to continue to review warning labels on products used in the classroom. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 10 Completed Date: 1/16/2025 Age: From 3 To 5 Total Minutes: 145 Time In: 10:10 AM Time Out: 12:35 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 me, Karla Terry, Child Care Consultant and also signed by Carolyn Plott, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Carolyn Plott, 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 percent (90%) as of 12/27/2024. 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 12/27/2024. Permit type – Five (5) Star Rated License, issued 1/4/2018. Special Services/Restrictions – first shift, no children under three, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 12/18/2024. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. The last shelter-in-place drill was practiced on 9/6/2024. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. The last playground inspection was documented on 1/6/2025. The last fire inspection was approved on 9/24/2024 The last sanitation inspection was conducted on 9/19/2024 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 Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Plott. I observed the group of three- to five-year-old children engaged in free play with light table, dinosaurs, dramatic play, free art, water play, and playdough. After free play, the children transitioned for music and movement. When music and movement concluded, the children began washing hands to prepare for lunch. Lunch today consisted of nachos, pears, corn and milk. After lunch, the children used the restroom and transitioned to nap time. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Additional guidance due to Tropical Storm Helene: The fence height is measuring three (3) feet six (6) inches due to the fence extenders have been blew over due to the high winds of the storm. The facility is currently providing indoor gross motor play, but a timeline will need to be submitted to state when the fence extenders will be re-adjusted to give the required four (4) feet fence height. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members medical report was not on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff members medical report was not on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805 A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #1032- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09 .0701(a) Item #1033- One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1034- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09.0701(a) Item #1035- One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed to update these at the first of the year and put them in your file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1811- A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. We discussed that a drill is required to be completed every three (3) months. If the school does not conduct one, the preschool/Head Start classroom will need to conduct a drill. Rule Reference: 10A NCAC 09.0604(u); .0302(d)(8) 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 1/29/2025. Email the compliance letter on signed letterhead or in 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 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: We discussed the appropriate storage for hazardous products as a reminder for staff to continue to review warning labels on products used in the classroom. 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. 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 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

NC GS 110-90 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/16/2025 Number Present: 10 Completed Date: 1/16/2025 Age: From 3 To 5 Total Minutes: 145 Time In: 10:10 AM Time Out: 12:35 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 me, Karla Terry, Child Care Consultant and also signed by Carolyn Plott, Lead Teacher, during the visit. An electronic signed copy of the visit summary was left on-site with you. Carolyn Plott, 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 percent (90%) as of 12/27/2024. 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 12/27/2024. Permit type – Five (5) Star Rated License, issued 1/4/2018. Special Services/Restrictions – first shift, no children under three, meets enhanced space, meeting reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The last annual compliance visit was conducted on 1/22/2024. The last fire drill was practiced on 12/18/2024. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. The last shelter-in-place drill was practiced on 9/6/2024. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. The last playground inspection was documented on 1/6/2025. The last fire inspection was approved on 9/24/2024 The last sanitation inspection was conducted on 9/19/2024 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 Creative Curriculum. The facility closed on 9/27/2024 due to Tropical Storm Helene and re-opened after Tropical Storm Helene on 11/18/2024. Upon arrival, I checked in at the front office and walked down to the classroom. Once I arrived at the classroom, I was greeted by Ms. Plott. I observed the group of three- to five-year-old children engaged in free play with light table, dinosaurs, dramatic play, free art, water play, and playdough. After free play, the children transitioned for music and movement. When music and movement concluded, the children began washing hands to prepare for lunch. Lunch today consisted of nachos, pears, corn and milk. After lunch, the children used the restroom and transitioned to nap time. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Site Monitoring Tool is not required for the 2024-2025 fiscal year due to Tropical Storm Helene. Two (2) children files were monitored today. The classroom operates from 7:30 a.m. to 2:00 p.m. Additional guidance due to Tropical Storm Helene: The fence height is measuring three (3) feet six (6) inches due to the fence extenders have been blew over due to the high winds of the storm. The facility is currently providing indoor gross motor play, but a timeline will need to be submitted to state when the fence extenders will be re-adjusted to give the required four (4) feet fence height. 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 805 Fire drills were not practiced monthly and/or the drill record was incomplete. A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. .0604(t); .0302(d)(5) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff members medical report was not on file for review. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. One (1) staff members medical report was not on file for review. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. .0701(a) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. .0604(u);.0302(d)(8) Technical assistance was provided as follows: Item #805 A fire drill was documented for the month of October since staff were working remotely. However, the children were not present for this drill. The next drill was conducted on 11/15/2024 before the children returned to school on 11/18/2024. We discussed that when conducting fire drills the children must be present in order for it to count towards your monthly fire drill. If the children are not present when the school conducts their drill a drill will need to be conducted for the preschool/Head Start class. Rule Reference: 10A NCAC 09 .0604(t); .0302(d)(5) Item #1032- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09 .0701(a) Item #1033- One (1) staff members annual Health Questionnaire was not on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1034- One (1) staff members medical report was not on file for review. We discussed at the first of the year to review your confidential file to ensure that all the required items are on file. Rule Reference: 10A NCAC 09.0701(a) Item #1035- One (1) staff members emergency information form on file was dated 8/23/2023 and was not updated on 8/23/2024. We discussed to update these at the first of the year and put them in your file. The staff member printed and completed the form during the visit. Rule Reference: 10A NCAC 09.0701(a) Item #1811- A emergency drill was due to be conducted by 12/31/2024 and was not completed. The facility is due to complete and emergency drill. We discussed that a drill is required to be completed every three (3) months. If the school does not conduct one, the preschool/Head Start classroom will need to conduct a drill. Rule Reference: 10A NCAC 09.0604(u); .0302(d)(8) 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 1/29/2025. Email the compliance letter on signed letterhead or in 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 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: We discussed the appropriate storage for hazardous products as a reminder for staff to continue to review warning labels on products used in the classroom. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 13 Completed Date: 9/6/2024 Age: From 3 To 4 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 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. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant. The program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant., were available to assist with questions. The program’s annual compliance visit was conducted on 1/22/2024. 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 The group of three to four year old children were engaged in free play with bristle blocks, puzzles, free art, and legos. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. At 10:35a a school wide lockdown drill was conducted. The class turned out the lights, moved the children to the group time carpet area, and the staff used a Ipad to read a storybook to the children. The lockdown drill ended at 10:42a. The children and staff transitioned to the cubby area to put on their rain boots to prepare to go outside. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. The lunch today was pizza, Cesar salad, apple juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, shelter in place drill, was practiced on 8/28/2024. During today’s visit a lockdown drill was practiced at 10:35a. The last fire inspection was approved on 1/30/2024. The program’s most recent sanitation inspection was completed on 10/6/2023, with five (5) demerits. The Emergency Preparedness and Response training was current and up to date. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. 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. Today, we reviewed the prep assessment that was conducted on 5/22/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/22/2024 – (C. Aker, G. Waters, O. Skelton) Total score – 5.62 Item 11 Indicator: 3.2 (see pages: 26-27 in the ECERS-R) Score: 2 pts Assessor Comments: When stored, the cots were stacked on top of one another. A blanket was folded and placed in the middle of each cot, and touched the bottom of the cot stacked above. The cots were made out of a permeable material, allowing for the potential transfer of germs between the children's bedding and the cots. Observations today: Individual blankets and belongings were stored in the child’s cubby. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children and teachers used the sinks in the bathrooms to wash their hands after toileting/diaper routines, sand play, painting, before/after water play, and before/after lunch. The sinks were not sprayed with a disinfectant after toileting/diaper routines before they were used for other purposes. In addition, two diaper changes occurred on the diapering table. Preparations: Preparations were not made prior to placing the children on the diapering table. Disposal: The diapers and wipes were disposed of properly. Wipes: Neither the teacher nor children cleaned their hands with a wipe after removal of the soiled diaper before placing a clean diaper on the child. Clean/Disinfect: Following each diaper routine the surface was sprayed with a disinfectant solution that was allowed to air dry for 2 minutes before being wiped dry. The first step of cleaning the surface with soapy water did not occur for either diaper change. For more information on procedures required during diapering/pull-up routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. Observations today: Diaper changing procedures were followed during today’s visit. Item 12 Indicator: 3.3 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children washed their hands, as needed, after toileting/diapering . After diaper changes, the teacher touched the door to the cabinet when putting up wipes before washing her hands. She did not wash her hands after spraying disinfectant on the changing table. Therefore, the teacher did not wash her hands at least 75% of the time. Observations today: Children washed their hands after toileting, after diaper changes, upon entry into the classroom from outdoors, and after lunch. Item 12 Indicator: 3.4 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The teacher reported that there are three children that wear diaper/pull ups. Although two of the children were changed before going outside, they were not changed again before they were instructed to get on their cots for nap time, which was 2 hours 43 minutes from the first diaper change for one child and 2 hours 35 minutes from the first diaper change for the other child, rather than diapers being visually checked/changed or children are taken to the bathroom at least every 2 hours. The other child left the classroom for therapy and he did not receive a diaper/pull up change during the observation, which was approximately 3 hours and 19 minutes long. Per teacher report, the therapist does not change diapers/pull ups when children are in therapy. Observations today: The one (1) child present today had a diaper change conducted during free play and prior to nap time. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator requires that teachers and children wash their hands at least 75% of the time when needed upon arrival/reentry, before and after water play and after messy play, after contact with bodily fluids, and after touching contaminated objects. The teachers washed their hands 60% as needed. Two teachers did not wash their hands when returning indoors from the playground. The children washed their hands 48% of the time. Some of the children did not wash their hands upon arrival, after water play, and when they returned to the classroom following outdoor play, before touching materials or bedding for their cots. Observations today: Staff and children were observed washing their hands upon reentry into the classroom from outdoors, after bodily contact, and before and after lunch. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. While reviewing the facility information, we discussed that a Legal Designee will need to be completed for the new staff. A legal designee form will be emailed to Shawn Wolff. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. G.S. 110-91(6); .0601(b) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. 10A NCAC 09 .0604(d) 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. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. .2820(b) Technical assistance was provided as follows: Item 721 All equipment and furnishings were not in good repair. Rule reference: G.S. 110-91(6); .0601(b) - While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. We discussed ensuring that staff conduct a daily outdoor check to remove any items that are broken or showing signs of wear and tear. Item 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. Rule reference: 10A NCAC 09 .0604 (d) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS -White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. The teacher unplugged the fan and removed it from the top of the cubbies, relocating to on top of the filing cabinet inaccessible to the children. We discussed that the fan must be mounted and have a mesh guard to prevent any injuries. Item 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. Rule reference: 15A NCAC 18A.2820(b) - While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. We discussed that all chemicals must be stored appropriately. If the chemical has only states to keep out of reach of children can be stored up five (5) feet inaccessible to the children. If a chemical is in an aerosol can or has multiple warnings must be stored under lock and key, combination lock, or magnetic lock. 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 9/20/2024. Email the compliance letter on signed letterhead or in 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 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: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - Picture hand washing procedures need to be posted at each handwashing sink. You had words posted but the children cannot read the words. - The child care law poster posted was dated 2016 and the current law poster was left with you to post. - When removing the trash from the can with lid, ensure that the can and lid do not restrict the exit at the back of the room near the bathrooms. - Keep a close eye on the opening at the base of the fence near the back left corner of the storage unit outside. To be proactive, I would recommend that you add dirt to fill the hole or black tubing to attach to the base of the fence. 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. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 13 Completed Date: 9/6/2024 Age: From 3 To 4 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 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. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant. The program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant., were available to assist with questions. The program’s annual compliance visit was conducted on 1/22/2024. 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 The group of three to four year old children were engaged in free play with bristle blocks, puzzles, free art, and legos. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. At 10:35a a school wide lockdown drill was conducted. The class turned out the lights, moved the children to the group time carpet area, and the staff used a Ipad to read a storybook to the children. The lockdown drill ended at 10:42a. The children and staff transitioned to the cubby area to put on their rain boots to prepare to go outside. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. The lunch today was pizza, Cesar salad, apple juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, shelter in place drill, was practiced on 8/28/2024. During today’s visit a lockdown drill was practiced at 10:35a. The last fire inspection was approved on 1/30/2024. The program’s most recent sanitation inspection was completed on 10/6/2023, with five (5) demerits. The Emergency Preparedness and Response training was current and up to date. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. 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. Today, we reviewed the prep assessment that was conducted on 5/22/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/22/2024 – (C. Aker, G. Waters, O. Skelton) Total score – 5.62 Item 11 Indicator: 3.2 (see pages: 26-27 in the ECERS-R) Score: 2 pts Assessor Comments: When stored, the cots were stacked on top of one another. A blanket was folded and placed in the middle of each cot, and touched the bottom of the cot stacked above. The cots were made out of a permeable material, allowing for the potential transfer of germs between the children's bedding and the cots. Observations today: Individual blankets and belongings were stored in the child’s cubby. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children and teachers used the sinks in the bathrooms to wash their hands after toileting/diaper routines, sand play, painting, before/after water play, and before/after lunch. The sinks were not sprayed with a disinfectant after toileting/diaper routines before they were used for other purposes. In addition, two diaper changes occurred on the diapering table. Preparations: Preparations were not made prior to placing the children on the diapering table. Disposal: The diapers and wipes were disposed of properly. Wipes: Neither the teacher nor children cleaned their hands with a wipe after removal of the soiled diaper before placing a clean diaper on the child. Clean/Disinfect: Following each diaper routine the surface was sprayed with a disinfectant solution that was allowed to air dry for 2 minutes before being wiped dry. The first step of cleaning the surface with soapy water did not occur for either diaper change. For more information on procedures required during diapering/pull-up routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. Observations today: Diaper changing procedures were followed during today’s visit. Item 12 Indicator: 3.3 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children washed their hands, as needed, after toileting/diapering . After diaper changes, the teacher touched the door to the cabinet when putting up wipes before washing her hands. She did not wash her hands after spraying disinfectant on the changing table. Therefore, the teacher did not wash her hands at least 75% of the time. Observations today: Children washed their hands after toileting, after diaper changes, upon entry into the classroom from outdoors, and after lunch. Item 12 Indicator: 3.4 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The teacher reported that there are three children that wear diaper/pull ups. Although two of the children were changed before going outside, they were not changed again before they were instructed to get on their cots for nap time, which was 2 hours 43 minutes from the first diaper change for one child and 2 hours 35 minutes from the first diaper change for the other child, rather than diapers being visually checked/changed or children are taken to the bathroom at least every 2 hours. The other child left the classroom for therapy and he did not receive a diaper/pull up change during the observation, which was approximately 3 hours and 19 minutes long. Per teacher report, the therapist does not change diapers/pull ups when children are in therapy. Observations today: The one (1) child present today had a diaper change conducted during free play and prior to nap time. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator requires that teachers and children wash their hands at least 75% of the time when needed upon arrival/reentry, before and after water play and after messy play, after contact with bodily fluids, and after touching contaminated objects. The teachers washed their hands 60% as needed. Two teachers did not wash their hands when returning indoors from the playground. The children washed their hands 48% of the time. Some of the children did not wash their hands upon arrival, after water play, and when they returned to the classroom following outdoor play, before touching materials or bedding for their cots. Observations today: Staff and children were observed washing their hands upon reentry into the classroom from outdoors, after bodily contact, and before and after lunch. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. While reviewing the facility information, we discussed that a Legal Designee will need to be completed for the new staff. A legal designee form will be emailed to Shawn Wolff. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. G.S. 110-91(6); .0601(b) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. 10A NCAC 09 .0604(d) 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. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. .2820(b) Technical assistance was provided as follows: Item 721 All equipment and furnishings were not in good repair. Rule reference: G.S. 110-91(6); .0601(b) - While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. We discussed ensuring that staff conduct a daily outdoor check to remove any items that are broken or showing signs of wear and tear. Item 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. Rule reference: 10A NCAC 09 .0604 (d) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS -White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. The teacher unplugged the fan and removed it from the top of the cubbies, relocating to on top of the filing cabinet inaccessible to the children. We discussed that the fan must be mounted and have a mesh guard to prevent any injuries. Item 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. Rule reference: 15A NCAC 18A.2820(b) - While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. We discussed that all chemicals must be stored appropriately. If the chemical has only states to keep out of reach of children can be stored up five (5) feet inaccessible to the children. If a chemical is in an aerosol can or has multiple warnings must be stored under lock and key, combination lock, or magnetic lock. 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 9/20/2024. Email the compliance letter on signed letterhead or in 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 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: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - Picture hand washing procedures need to be posted at each handwashing sink. You had words posted but the children cannot read the words. - The child care law poster posted was dated 2016 and the current law poster was left with you to post. - When removing the trash from the can with lid, ensure that the can and lid do not restrict the exit at the back of the room near the bathrooms. - Keep a close eye on the opening at the base of the fence near the back left corner of the storage unit outside. To be proactive, I would recommend that you add dirt to fill the hole or black tubing to attach to the base of the fence. 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. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 13 Completed Date: 9/6/2024 Age: From 3 To 4 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 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. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant. The program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant., were available to assist with questions. The program’s annual compliance visit was conducted on 1/22/2024. 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 The group of three to four year old children were engaged in free play with bristle blocks, puzzles, free art, and legos. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. At 10:35a a school wide lockdown drill was conducted. The class turned out the lights, moved the children to the group time carpet area, and the staff used a Ipad to read a storybook to the children. The lockdown drill ended at 10:42a. The children and staff transitioned to the cubby area to put on their rain boots to prepare to go outside. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. The lunch today was pizza, Cesar salad, apple juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, shelter in place drill, was practiced on 8/28/2024. During today’s visit a lockdown drill was practiced at 10:35a. The last fire inspection was approved on 1/30/2024. The program’s most recent sanitation inspection was completed on 10/6/2023, with five (5) demerits. The Emergency Preparedness and Response training was current and up to date. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. 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. Today, we reviewed the prep assessment that was conducted on 5/22/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/22/2024 – (C. Aker, G. Waters, O. Skelton) Total score – 5.62 Item 11 Indicator: 3.2 (see pages: 26-27 in the ECERS-R) Score: 2 pts Assessor Comments: When stored, the cots were stacked on top of one another. A blanket was folded and placed in the middle of each cot, and touched the bottom of the cot stacked above. The cots were made out of a permeable material, allowing for the potential transfer of germs between the children's bedding and the cots. Observations today: Individual blankets and belongings were stored in the child’s cubby. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children and teachers used the sinks in the bathrooms to wash their hands after toileting/diaper routines, sand play, painting, before/after water play, and before/after lunch. The sinks were not sprayed with a disinfectant after toileting/diaper routines before they were used for other purposes. In addition, two diaper changes occurred on the diapering table. Preparations: Preparations were not made prior to placing the children on the diapering table. Disposal: The diapers and wipes were disposed of properly. Wipes: Neither the teacher nor children cleaned their hands with a wipe after removal of the soiled diaper before placing a clean diaper on the child. Clean/Disinfect: Following each diaper routine the surface was sprayed with a disinfectant solution that was allowed to air dry for 2 minutes before being wiped dry. The first step of cleaning the surface with soapy water did not occur for either diaper change. For more information on procedures required during diapering/pull-up routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. Observations today: Diaper changing procedures were followed during today’s visit. Item 12 Indicator: 3.3 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children washed their hands, as needed, after toileting/diapering . After diaper changes, the teacher touched the door to the cabinet when putting up wipes before washing her hands. She did not wash her hands after spraying disinfectant on the changing table. Therefore, the teacher did not wash her hands at least 75% of the time. Observations today: Children washed their hands after toileting, after diaper changes, upon entry into the classroom from outdoors, and after lunch. Item 12 Indicator: 3.4 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The teacher reported that there are three children that wear diaper/pull ups. Although two of the children were changed before going outside, they were not changed again before they were instructed to get on their cots for nap time, which was 2 hours 43 minutes from the first diaper change for one child and 2 hours 35 minutes from the first diaper change for the other child, rather than diapers being visually checked/changed or children are taken to the bathroom at least every 2 hours. The other child left the classroom for therapy and he did not receive a diaper/pull up change during the observation, which was approximately 3 hours and 19 minutes long. Per teacher report, the therapist does not change diapers/pull ups when children are in therapy. Observations today: The one (1) child present today had a diaper change conducted during free play and prior to nap time. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator requires that teachers and children wash their hands at least 75% of the time when needed upon arrival/reentry, before and after water play and after messy play, after contact with bodily fluids, and after touching contaminated objects. The teachers washed their hands 60% as needed. Two teachers did not wash their hands when returning indoors from the playground. The children washed their hands 48% of the time. Some of the children did not wash their hands upon arrival, after water play, and when they returned to the classroom following outdoor play, before touching materials or bedding for their cots. Observations today: Staff and children were observed washing their hands upon reentry into the classroom from outdoors, after bodily contact, and before and after lunch. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. While reviewing the facility information, we discussed that a Legal Designee will need to be completed for the new staff. A legal designee form will be emailed to Shawn Wolff. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. G.S. 110-91(6); .0601(b) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. 10A NCAC 09 .0604(d) 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. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. .2820(b) Technical assistance was provided as follows: Item 721 All equipment and furnishings were not in good repair. Rule reference: G.S. 110-91(6); .0601(b) - While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. We discussed ensuring that staff conduct a daily outdoor check to remove any items that are broken or showing signs of wear and tear. Item 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. Rule reference: 10A NCAC 09 .0604 (d) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS -White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. The teacher unplugged the fan and removed it from the top of the cubbies, relocating to on top of the filing cabinet inaccessible to the children. We discussed that the fan must be mounted and have a mesh guard to prevent any injuries. Item 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. Rule reference: 15A NCAC 18A.2820(b) - While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. We discussed that all chemicals must be stored appropriately. If the chemical has only states to keep out of reach of children can be stored up five (5) feet inaccessible to the children. If a chemical is in an aerosol can or has multiple warnings must be stored under lock and key, combination lock, or magnetic lock. 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 9/20/2024. Email the compliance letter on signed letterhead or in 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 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: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - Picture hand washing procedures need to be posted at each handwashing sink. You had words posted but the children cannot read the words. - The child care law poster posted was dated 2016 and the current law poster was left with you to post. - When removing the trash from the can with lid, ensure that the can and lid do not restrict the exit at the back of the room near the bathrooms. - Keep a close eye on the opening at the base of the fence near the back left corner of the storage unit outside. To be proactive, I would recommend that you add dirt to fill the hole or black tubing to attach to the base of the fence. 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. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 13 Completed Date: 9/6/2024 Age: From 3 To 4 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 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. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant. The program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant., were available to assist with questions. The program’s annual compliance visit was conducted on 1/22/2024. 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 The group of three to four year old children were engaged in free play with bristle blocks, puzzles, free art, and legos. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. At 10:35a a school wide lockdown drill was conducted. The class turned out the lights, moved the children to the group time carpet area, and the staff used a Ipad to read a storybook to the children. The lockdown drill ended at 10:42a. The children and staff transitioned to the cubby area to put on their rain boots to prepare to go outside. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. The lunch today was pizza, Cesar salad, apple juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, shelter in place drill, was practiced on 8/28/2024. During today’s visit a lockdown drill was practiced at 10:35a. The last fire inspection was approved on 1/30/2024. The program’s most recent sanitation inspection was completed on 10/6/2023, with five (5) demerits. The Emergency Preparedness and Response training was current and up to date. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. 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. Today, we reviewed the prep assessment that was conducted on 5/22/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/22/2024 – (C. Aker, G. Waters, O. Skelton) Total score – 5.62 Item 11 Indicator: 3.2 (see pages: 26-27 in the ECERS-R) Score: 2 pts Assessor Comments: When stored, the cots were stacked on top of one another. A blanket was folded and placed in the middle of each cot, and touched the bottom of the cot stacked above. The cots were made out of a permeable material, allowing for the potential transfer of germs between the children's bedding and the cots. Observations today: Individual blankets and belongings were stored in the child’s cubby. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children and teachers used the sinks in the bathrooms to wash their hands after toileting/diaper routines, sand play, painting, before/after water play, and before/after lunch. The sinks were not sprayed with a disinfectant after toileting/diaper routines before they were used for other purposes. In addition, two diaper changes occurred on the diapering table. Preparations: Preparations were not made prior to placing the children on the diapering table. Disposal: The diapers and wipes were disposed of properly. Wipes: Neither the teacher nor children cleaned their hands with a wipe after removal of the soiled diaper before placing a clean diaper on the child. Clean/Disinfect: Following each diaper routine the surface was sprayed with a disinfectant solution that was allowed to air dry for 2 minutes before being wiped dry. The first step of cleaning the surface with soapy water did not occur for either diaper change. For more information on procedures required during diapering/pull-up routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. Observations today: Diaper changing procedures were followed during today’s visit. Item 12 Indicator: 3.3 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children washed their hands, as needed, after toileting/diapering . After diaper changes, the teacher touched the door to the cabinet when putting up wipes before washing her hands. She did not wash her hands after spraying disinfectant on the changing table. Therefore, the teacher did not wash her hands at least 75% of the time. Observations today: Children washed their hands after toileting, after diaper changes, upon entry into the classroom from outdoors, and after lunch. Item 12 Indicator: 3.4 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The teacher reported that there are three children that wear diaper/pull ups. Although two of the children were changed before going outside, they were not changed again before they were instructed to get on their cots for nap time, which was 2 hours 43 minutes from the first diaper change for one child and 2 hours 35 minutes from the first diaper change for the other child, rather than diapers being visually checked/changed or children are taken to the bathroom at least every 2 hours. The other child left the classroom for therapy and he did not receive a diaper/pull up change during the observation, which was approximately 3 hours and 19 minutes long. Per teacher report, the therapist does not change diapers/pull ups when children are in therapy. Observations today: The one (1) child present today had a diaper change conducted during free play and prior to nap time. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator requires that teachers and children wash their hands at least 75% of the time when needed upon arrival/reentry, before and after water play and after messy play, after contact with bodily fluids, and after touching contaminated objects. The teachers washed their hands 60% as needed. Two teachers did not wash their hands when returning indoors from the playground. The children washed their hands 48% of the time. Some of the children did not wash their hands upon arrival, after water play, and when they returned to the classroom following outdoor play, before touching materials or bedding for their cots. Observations today: Staff and children were observed washing their hands upon reentry into the classroom from outdoors, after bodily contact, and before and after lunch. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. While reviewing the facility information, we discussed that a Legal Designee will need to be completed for the new staff. A legal designee form will be emailed to Shawn Wolff. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. G.S. 110-91(6); .0601(b) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. 10A NCAC 09 .0604(d) 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. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. .2820(b) Technical assistance was provided as follows: Item 721 All equipment and furnishings were not in good repair. Rule reference: G.S. 110-91(6); .0601(b) - While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. We discussed ensuring that staff conduct a daily outdoor check to remove any items that are broken or showing signs of wear and tear. Item 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. Rule reference: 10A NCAC 09 .0604 (d) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS -White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. The teacher unplugged the fan and removed it from the top of the cubbies, relocating to on top of the filing cabinet inaccessible to the children. We discussed that the fan must be mounted and have a mesh guard to prevent any injuries. Item 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. Rule reference: 15A NCAC 18A.2820(b) - While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. We discussed that all chemicals must be stored appropriately. If the chemical has only states to keep out of reach of children can be stored up five (5) feet inaccessible to the children. If a chemical is in an aerosol can or has multiple warnings must be stored under lock and key, combination lock, or magnetic lock. 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 9/20/2024. Email the compliance letter on signed letterhead or in 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 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: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - Picture hand washing procedures need to be posted at each handwashing sink. You had words posted but the children cannot read the words. - The child care law poster posted was dated 2016 and the current law poster was left with you to post. - When removing the trash from the can with lid, ensure that the can and lid do not restrict the exit at the back of the room near the bathrooms. - Keep a close eye on the opening at the base of the fence near the back left corner of the storage unit outside. To be proactive, I would recommend that you add dirt to fill the hole or black tubing to attach to the base of the fence. 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. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 13 Completed Date: 9/6/2024 Age: From 3 To 4 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 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. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant. The program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant., were available to assist with questions. The program’s annual compliance visit was conducted on 1/22/2024. 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 The group of three to four year old children were engaged in free play with bristle blocks, puzzles, free art, and legos. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. At 10:35a a school wide lockdown drill was conducted. The class turned out the lights, moved the children to the group time carpet area, and the staff used a Ipad to read a storybook to the children. The lockdown drill ended at 10:42a. The children and staff transitioned to the cubby area to put on their rain boots to prepare to go outside. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. The lunch today was pizza, Cesar salad, apple juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, shelter in place drill, was practiced on 8/28/2024. During today’s visit a lockdown drill was practiced at 10:35a. The last fire inspection was approved on 1/30/2024. The program’s most recent sanitation inspection was completed on 10/6/2023, with five (5) demerits. The Emergency Preparedness and Response training was current and up to date. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. 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. Today, we reviewed the prep assessment that was conducted on 5/22/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/22/2024 – (C. Aker, G. Waters, O. Skelton) Total score – 5.62 Item 11 Indicator: 3.2 (see pages: 26-27 in the ECERS-R) Score: 2 pts Assessor Comments: When stored, the cots were stacked on top of one another. A blanket was folded and placed in the middle of each cot, and touched the bottom of the cot stacked above. The cots were made out of a permeable material, allowing for the potential transfer of germs between the children's bedding and the cots. Observations today: Individual blankets and belongings were stored in the child’s cubby. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children and teachers used the sinks in the bathrooms to wash their hands after toileting/diaper routines, sand play, painting, before/after water play, and before/after lunch. The sinks were not sprayed with a disinfectant after toileting/diaper routines before they were used for other purposes. In addition, two diaper changes occurred on the diapering table. Preparations: Preparations were not made prior to placing the children on the diapering table. Disposal: The diapers and wipes were disposed of properly. Wipes: Neither the teacher nor children cleaned their hands with a wipe after removal of the soiled diaper before placing a clean diaper on the child. Clean/Disinfect: Following each diaper routine the surface was sprayed with a disinfectant solution that was allowed to air dry for 2 minutes before being wiped dry. The first step of cleaning the surface with soapy water did not occur for either diaper change. For more information on procedures required during diapering/pull-up routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. Observations today: Diaper changing procedures were followed during today’s visit. Item 12 Indicator: 3.3 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children washed their hands, as needed, after toileting/diapering . After diaper changes, the teacher touched the door to the cabinet when putting up wipes before washing her hands. She did not wash her hands after spraying disinfectant on the changing table. Therefore, the teacher did not wash her hands at least 75% of the time. Observations today: Children washed their hands after toileting, after diaper changes, upon entry into the classroom from outdoors, and after lunch. Item 12 Indicator: 3.4 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The teacher reported that there are three children that wear diaper/pull ups. Although two of the children were changed before going outside, they were not changed again before they were instructed to get on their cots for nap time, which was 2 hours 43 minutes from the first diaper change for one child and 2 hours 35 minutes from the first diaper change for the other child, rather than diapers being visually checked/changed or children are taken to the bathroom at least every 2 hours. The other child left the classroom for therapy and he did not receive a diaper/pull up change during the observation, which was approximately 3 hours and 19 minutes long. Per teacher report, the therapist does not change diapers/pull ups when children are in therapy. Observations today: The one (1) child present today had a diaper change conducted during free play and prior to nap time. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator requires that teachers and children wash their hands at least 75% of the time when needed upon arrival/reentry, before and after water play and after messy play, after contact with bodily fluids, and after touching contaminated objects. The teachers washed their hands 60% as needed. Two teachers did not wash their hands when returning indoors from the playground. The children washed their hands 48% of the time. Some of the children did not wash their hands upon arrival, after water play, and when they returned to the classroom following outdoor play, before touching materials or bedding for their cots. Observations today: Staff and children were observed washing their hands upon reentry into the classroom from outdoors, after bodily contact, and before and after lunch. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. While reviewing the facility information, we discussed that a Legal Designee will need to be completed for the new staff. A legal designee form will be emailed to Shawn Wolff. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. G.S. 110-91(6); .0601(b) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. 10A NCAC 09 .0604(d) 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. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. .2820(b) Technical assistance was provided as follows: Item 721 All equipment and furnishings were not in good repair. Rule reference: G.S. 110-91(6); .0601(b) - While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. We discussed ensuring that staff conduct a daily outdoor check to remove any items that are broken or showing signs of wear and tear. Item 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. Rule reference: 10A NCAC 09 .0604 (d) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS -White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. The teacher unplugged the fan and removed it from the top of the cubbies, relocating to on top of the filing cabinet inaccessible to the children. We discussed that the fan must be mounted and have a mesh guard to prevent any injuries. Item 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. Rule reference: 15A NCAC 18A.2820(b) - While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. We discussed that all chemicals must be stored appropriately. If the chemical has only states to keep out of reach of children can be stored up five (5) feet inaccessible to the children. If a chemical is in an aerosol can or has multiple warnings must be stored under lock and key, combination lock, or magnetic lock. 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 9/20/2024. Email the compliance letter on signed letterhead or in 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 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: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - Picture hand washing procedures need to be posted at each handwashing sink. You had words posted but the children cannot read the words. - The child care law poster posted was dated 2016 and the current law poster was left with you to post. - When removing the trash from the can with lid, ensure that the can and lid do not restrict the exit at the back of the room near the bathrooms. - Keep a close eye on the opening at the base of the fence near the back left corner of the storage unit outside. To be proactive, I would recommend that you add dirt to fill the hole or black tubing to attach to the base of the fence. 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. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 13 Completed Date: 9/6/2024 Age: From 3 To 4 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 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. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant. The program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant., were available to assist with questions. The program’s annual compliance visit was conducted on 1/22/2024. 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 The group of three to four year old children were engaged in free play with bristle blocks, puzzles, free art, and legos. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. At 10:35a a school wide lockdown drill was conducted. The class turned out the lights, moved the children to the group time carpet area, and the staff used a Ipad to read a storybook to the children. The lockdown drill ended at 10:42a. The children and staff transitioned to the cubby area to put on their rain boots to prepare to go outside. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. The lunch today was pizza, Cesar salad, apple juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, shelter in place drill, was practiced on 8/28/2024. During today’s visit a lockdown drill was practiced at 10:35a. The last fire inspection was approved on 1/30/2024. The program’s most recent sanitation inspection was completed on 10/6/2023, with five (5) demerits. The Emergency Preparedness and Response training was current and up to date. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. 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. Today, we reviewed the prep assessment that was conducted on 5/22/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/22/2024 – (C. Aker, G. Waters, O. Skelton) Total score – 5.62 Item 11 Indicator: 3.2 (see pages: 26-27 in the ECERS-R) Score: 2 pts Assessor Comments: When stored, the cots were stacked on top of one another. A blanket was folded and placed in the middle of each cot, and touched the bottom of the cot stacked above. The cots were made out of a permeable material, allowing for the potential transfer of germs between the children's bedding and the cots. Observations today: Individual blankets and belongings were stored in the child’s cubby. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children and teachers used the sinks in the bathrooms to wash their hands after toileting/diaper routines, sand play, painting, before/after water play, and before/after lunch. The sinks were not sprayed with a disinfectant after toileting/diaper routines before they were used for other purposes. In addition, two diaper changes occurred on the diapering table. Preparations: Preparations were not made prior to placing the children on the diapering table. Disposal: The diapers and wipes were disposed of properly. Wipes: Neither the teacher nor children cleaned their hands with a wipe after removal of the soiled diaper before placing a clean diaper on the child. Clean/Disinfect: Following each diaper routine the surface was sprayed with a disinfectant solution that was allowed to air dry for 2 minutes before being wiped dry. The first step of cleaning the surface with soapy water did not occur for either diaper change. For more information on procedures required during diapering/pull-up routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. Observations today: Diaper changing procedures were followed during today’s visit. Item 12 Indicator: 3.3 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children washed their hands, as needed, after toileting/diapering . After diaper changes, the teacher touched the door to the cabinet when putting up wipes before washing her hands. She did not wash her hands after spraying disinfectant on the changing table. Therefore, the teacher did not wash her hands at least 75% of the time. Observations today: Children washed their hands after toileting, after diaper changes, upon entry into the classroom from outdoors, and after lunch. Item 12 Indicator: 3.4 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The teacher reported that there are three children that wear diaper/pull ups. Although two of the children were changed before going outside, they were not changed again before they were instructed to get on their cots for nap time, which was 2 hours 43 minutes from the first diaper change for one child and 2 hours 35 minutes from the first diaper change for the other child, rather than diapers being visually checked/changed or children are taken to the bathroom at least every 2 hours. The other child left the classroom for therapy and he did not receive a diaper/pull up change during the observation, which was approximately 3 hours and 19 minutes long. Per teacher report, the therapist does not change diapers/pull ups when children are in therapy. Observations today: The one (1) child present today had a diaper change conducted during free play and prior to nap time. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator requires that teachers and children wash their hands at least 75% of the time when needed upon arrival/reentry, before and after water play and after messy play, after contact with bodily fluids, and after touching contaminated objects. The teachers washed their hands 60% as needed. Two teachers did not wash their hands when returning indoors from the playground. The children washed their hands 48% of the time. Some of the children did not wash their hands upon arrival, after water play, and when they returned to the classroom following outdoor play, before touching materials or bedding for their cots. Observations today: Staff and children were observed washing their hands upon reentry into the classroom from outdoors, after bodily contact, and before and after lunch. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. While reviewing the facility information, we discussed that a Legal Designee will need to be completed for the new staff. A legal designee form will be emailed to Shawn Wolff. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. G.S. 110-91(6); .0601(b) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. 10A NCAC 09 .0604(d) 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. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. .2820(b) Technical assistance was provided as follows: Item 721 All equipment and furnishings were not in good repair. Rule reference: G.S. 110-91(6); .0601(b) - While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. We discussed ensuring that staff conduct a daily outdoor check to remove any items that are broken or showing signs of wear and tear. Item 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. Rule reference: 10A NCAC 09 .0604 (d) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS -White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. The teacher unplugged the fan and removed it from the top of the cubbies, relocating to on top of the filing cabinet inaccessible to the children. We discussed that the fan must be mounted and have a mesh guard to prevent any injuries. Item 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. Rule reference: 15A NCAC 18A.2820(b) - While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. We discussed that all chemicals must be stored appropriately. If the chemical has only states to keep out of reach of children can be stored up five (5) feet inaccessible to the children. If a chemical is in an aerosol can or has multiple warnings must be stored under lock and key, combination lock, or magnetic lock. 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 9/20/2024. Email the compliance letter on signed letterhead or in 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 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: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - Picture hand washing procedures need to be posted at each handwashing sink. You had words posted but the children cannot read the words. - The child care law poster posted was dated 2016 and the current law poster was left with you to post. - When removing the trash from the can with lid, ensure that the can and lid do not restrict the exit at the back of the room near the bathrooms. - Keep a close eye on the opening at the base of the fence near the back left corner of the storage unit outside. To be proactive, I would recommend that you add dirt to fill the hole or black tubing to attach to the base of the fence. 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. 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. 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 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. 110-91 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 13 Completed Date: 9/6/2024 Age: From 3 To 4 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 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. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant. The program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant., were available to assist with questions. The program’s annual compliance visit was conducted on 1/22/2024. 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 The group of three to four year old children were engaged in free play with bristle blocks, puzzles, free art, and legos. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. At 10:35a a school wide lockdown drill was conducted. The class turned out the lights, moved the children to the group time carpet area, and the staff used a Ipad to read a storybook to the children. The lockdown drill ended at 10:42a. The children and staff transitioned to the cubby area to put on their rain boots to prepare to go outside. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. The lunch today was pizza, Cesar salad, apple juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, shelter in place drill, was practiced on 8/28/2024. During today’s visit a lockdown drill was practiced at 10:35a. The last fire inspection was approved on 1/30/2024. The program’s most recent sanitation inspection was completed on 10/6/2023, with five (5) demerits. The Emergency Preparedness and Response training was current and up to date. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. 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. Today, we reviewed the prep assessment that was conducted on 5/22/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/22/2024 – (C. Aker, G. Waters, O. Skelton) Total score – 5.62 Item 11 Indicator: 3.2 (see pages: 26-27 in the ECERS-R) Score: 2 pts Assessor Comments: When stored, the cots were stacked on top of one another. A blanket was folded and placed in the middle of each cot, and touched the bottom of the cot stacked above. The cots were made out of a permeable material, allowing for the potential transfer of germs between the children's bedding and the cots. Observations today: Individual blankets and belongings were stored in the child’s cubby. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children and teachers used the sinks in the bathrooms to wash their hands after toileting/diaper routines, sand play, painting, before/after water play, and before/after lunch. The sinks were not sprayed with a disinfectant after toileting/diaper routines before they were used for other purposes. In addition, two diaper changes occurred on the diapering table. Preparations: Preparations were not made prior to placing the children on the diapering table. Disposal: The diapers and wipes were disposed of properly. Wipes: Neither the teacher nor children cleaned their hands with a wipe after removal of the soiled diaper before placing a clean diaper on the child. Clean/Disinfect: Following each diaper routine the surface was sprayed with a disinfectant solution that was allowed to air dry for 2 minutes before being wiped dry. The first step of cleaning the surface with soapy water did not occur for either diaper change. For more information on procedures required during diapering/pull-up routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. Observations today: Diaper changing procedures were followed during today’s visit. Item 12 Indicator: 3.3 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children washed their hands, as needed, after toileting/diapering . After diaper changes, the teacher touched the door to the cabinet when putting up wipes before washing her hands. She did not wash her hands after spraying disinfectant on the changing table. Therefore, the teacher did not wash her hands at least 75% of the time. Observations today: Children washed their hands after toileting, after diaper changes, upon entry into the classroom from outdoors, and after lunch. Item 12 Indicator: 3.4 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The teacher reported that there are three children that wear diaper/pull ups. Although two of the children were changed before going outside, they were not changed again before they were instructed to get on their cots for nap time, which was 2 hours 43 minutes from the first diaper change for one child and 2 hours 35 minutes from the first diaper change for the other child, rather than diapers being visually checked/changed or children are taken to the bathroom at least every 2 hours. The other child left the classroom for therapy and he did not receive a diaper/pull up change during the observation, which was approximately 3 hours and 19 minutes long. Per teacher report, the therapist does not change diapers/pull ups when children are in therapy. Observations today: The one (1) child present today had a diaper change conducted during free play and prior to nap time. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator requires that teachers and children wash their hands at least 75% of the time when needed upon arrival/reentry, before and after water play and after messy play, after contact with bodily fluids, and after touching contaminated objects. The teachers washed their hands 60% as needed. Two teachers did not wash their hands when returning indoors from the playground. The children washed their hands 48% of the time. Some of the children did not wash their hands upon arrival, after water play, and when they returned to the classroom following outdoor play, before touching materials or bedding for their cots. Observations today: Staff and children were observed washing their hands upon reentry into the classroom from outdoors, after bodily contact, and before and after lunch. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. While reviewing the facility information, we discussed that a Legal Designee will need to be completed for the new staff. A legal designee form will be emailed to Shawn Wolff. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. G.S. 110-91(6); .0601(b) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. 10A NCAC 09 .0604(d) 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. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. .2820(b) Technical assistance was provided as follows: Item 721 All equipment and furnishings were not in good repair. Rule reference: G.S. 110-91(6); .0601(b) - While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. We discussed ensuring that staff conduct a daily outdoor check to remove any items that are broken or showing signs of wear and tear. Item 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. Rule reference: 10A NCAC 09 .0604 (d) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS -White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. The teacher unplugged the fan and removed it from the top of the cubbies, relocating to on top of the filing cabinet inaccessible to the children. We discussed that the fan must be mounted and have a mesh guard to prevent any injuries. Item 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. Rule reference: 15A NCAC 18A.2820(b) - While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. We discussed that all chemicals must be stored appropriately. If the chemical has only states to keep out of reach of children can be stored up five (5) feet inaccessible to the children. If a chemical is in an aerosol can or has multiple warnings must be stored under lock and key, combination lock, or magnetic lock. 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 9/20/2024. Email the compliance letter on signed letterhead or in 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 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: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - Picture hand washing procedures need to be posted at each handwashing sink. You had words posted but the children cannot read the words. - The child care law poster posted was dated 2016 and the current law poster was left with you to post. - When removing the trash from the can with lid, ensure that the can and lid do not restrict the exit at the back of the room near the bathrooms. - Keep a close eye on the opening at the base of the fence near the back left corner of the storage unit outside. To be proactive, I would recommend that you add dirt to fill the hole or black tubing to attach to the base of the fence. 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. 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. 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 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

NC GS 110-90 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/6/2024 Number Present: 13 Completed Date: 9/6/2024 Age: From 3 To 4 Total Minutes: 150 Time In: 10:15 AM Time Out: 12:45 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. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant. The program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. Carolyn Plott, Lead Teacher, and Yessica Guerra, Teacher Assistant., were available to assist with questions. The program’s annual compliance visit was conducted on 1/22/2024. 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 The group of three to four year old children were engaged in free play with bristle blocks, puzzles, free art, and legos. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. At 10:35a a school wide lockdown drill was conducted. The class turned out the lights, moved the children to the group time carpet area, and the staff used a Ipad to read a storybook to the children. The lockdown drill ended at 10:42a. The children and staff transitioned to the cubby area to put on their rain boots to prepare to go outside. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. The lunch today was pizza, Cesar salad, apple juice, and milk. The last fire drill was practiced on 8/29/2024. The last emergency drill, shelter in place drill, was practiced on 8/28/2024. During today’s visit a lockdown drill was practiced at 10:35a. The last fire inspection was approved on 1/30/2024. The program’s most recent sanitation inspection was completed on 10/6/2023, with five (5) demerits. The Emergency Preparedness and Response training was current and up to date. The Emergency Medical Care Plan is posted and current. The incident log is in use and maintained. The program does not provide transportation. The NC Pre-K requirements in section .3000 of the childcare rules were partially monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. The facility has until October 31, 2024, to complete the Site Monitoring Tool and submit to the contracting agent. The first day of school was 8/26/2024 and the classroom operates from 7:30 a.m. to 2:00 p.m. A full monitoring of NC Pre-K requirements will be conducted during the annual compliance visit later this year. 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. Today, we reviewed the prep assessment that was conducted on 5/22/2024. Due to the facility being closed for the summer, I was unable to review the assessment with the facility prior to closing for the summer. Below are the items that were scored two (2) or below. ECERS-R assessment – 5/22/2024 – (C. Aker, G. Waters, O. Skelton) Total score – 5.62 Item 11 Indicator: 3.2 (see pages: 26-27 in the ECERS-R) Score: 2 pts Assessor Comments: When stored, the cots were stacked on top of one another. A blanket was folded and placed in the middle of each cot, and touched the bottom of the cot stacked above. The cots were made out of a permeable material, allowing for the potential transfer of germs between the children's bedding and the cots. Observations today: Individual blankets and belongings were stored in the child’s cubby. Item 12 Indicator: 3.1 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children and teachers used the sinks in the bathrooms to wash their hands after toileting/diaper routines, sand play, painting, before/after water play, and before/after lunch. The sinks were not sprayed with a disinfectant after toileting/diaper routines before they were used for other purposes. In addition, two diaper changes occurred on the diapering table. Preparations: Preparations were not made prior to placing the children on the diapering table. Disposal: The diapers and wipes were disposed of properly. Wipes: Neither the teacher nor children cleaned their hands with a wipe after removal of the soiled diaper before placing a clean diaper on the child. Clean/Disinfect: Following each diaper routine the surface was sprayed with a disinfectant solution that was allowed to air dry for 2 minutes before being wiped dry. The first step of cleaning the surface with soapy water did not occur for either diaper change. For more information on procedures required during diapering/pull-up routines, please refer to the diapering procedure poster from the North Carolina Child Care Health and Safety Resource Center. Observations today: Diaper changing procedures were followed during today’s visit. Item 12 Indicator: 3.3 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The children washed their hands, as needed, after toileting/diapering . After diaper changes, the teacher touched the door to the cabinet when putting up wipes before washing her hands. She did not wash her hands after spraying disinfectant on the changing table. Therefore, the teacher did not wash her hands at least 75% of the time. Observations today: Children washed their hands after toileting, after diaper changes, upon entry into the classroom from outdoors, and after lunch. Item 12 Indicator: 3.4 (see pages: 28-29 in the ECERS-R) Score: 1 pts Assessor Comments: The teacher reported that there are three children that wear diaper/pull ups. Although two of the children were changed before going outside, they were not changed again before they were instructed to get on their cots for nap time, which was 2 hours 43 minutes from the first diaper change for one child and 2 hours 35 minutes from the first diaper change for the other child, rather than diapers being visually checked/changed or children are taken to the bathroom at least every 2 hours. The other child left the classroom for therapy and he did not receive a diaper/pull up change during the observation, which was approximately 3 hours and 19 minutes long. Per teacher report, the therapist does not change diapers/pull ups when children are in therapy. Observations today: The one (1) child present today had a diaper change conducted during free play and prior to nap time. Item 13 Indicator: 3.1 (see pages: 30-31 in the ECERS-R) Score: 2 pts Assessor Comments: This indicator requires that teachers and children wash their hands at least 75% of the time when needed upon arrival/reentry, before and after water play and after messy play, after contact with bodily fluids, and after touching contaminated objects. The teachers washed their hands 60% as needed. Two teachers did not wash their hands when returning indoors from the playground. The children washed their hands 48% of the time. Some of the children did not wash their hands upon arrival, after water play, and when they returned to the classroom following outdoor play, before touching materials or bedding for their cots. Observations today: Staff and children were observed washing their hands upon reentry into the classroom from outdoors, after bodily contact, and before and after lunch. During our discussion, we discussed the facility license is currently held harmless. Which means that the facility does not have to move forward with the rated license process. However, we did discuss that the facility can choose to voluntarily move forward with the rated license process using the score they received from the prep assessment as long as the facility can maintain their current star rating. I recommended that they meet with their administrator Shawn Wolff to discuss how they would like to proceed. I left a copy of the staff information sheet with the staff should you decide to proceed with the rated license process. While reviewing the facility information, we discussed that a Legal Designee will need to be completed for the new staff. A legal designee form will be emailed to Shawn Wolff. The following violations of child care requirements were observed today: Violation Number Comment Rule 721 All equipment and furnishings were not in good repair. While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. G.S. 110-91(6); .0601(b) 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. 10A NCAC 09 .0604(d) 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. While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. .2820(b) Technical assistance was provided as follows: Item 721 All equipment and furnishings were not in good repair. Rule reference: G.S. 110-91(6); .0601(b) - While monitoring the outdoor space, I observed the blue, yellow, and red mat that was torn and the gray storage container had sharp edges on the back of the storage container and the lid. The teacher assistant removed the blue, yellow, and red mat during the visit. The storage container was not removed. We discussed ensuring that staff conduct a daily outdoor check to remove any items that are broken or showing signs of wear and tear. Item 813 Electric fans were not mounted out of reach or did not have a mesh guard to prevent access. Rule reference: 10A NCAC 09 .0604 (d) SAFETY REQUIREMENTS FOR CHILD CARE CENTERS -White electrical fan was observed sitting on top of the second set of cubbies plugged in and turned on. The fan was not mounted and did not have a mesh guard to prevent the children from accessing the fan blades. The teacher unplugged the fan and removed it from the top of the cubbies, relocating to on top of the filing cabinet inaccessible to the children. We discussed that the fan must be mounted and have a mesh guard to prevent any injuries. Item 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. Rule reference: 15A NCAC 18A.2820(b) - While monitoring the indoor space, I observed three (3) aerosol cans in cabinet near the diaper changer that was closed with a child safety lock. We discussed that any materials in aerosol cans must be stored in a locked cabinet. The teacher assistant moved the cans to a magnetic locked cabinet under the food prep sink. Also, glass cleaner was observed in the storage area that is closed with lattice and carabiner clip. The teacher moved the glass cleaner to a locked storage. We discussed that all chemicals must be stored appropriately. If the chemical has only states to keep out of reach of children can be stored up five (5) feet inaccessible to the children. If a chemical is in an aerosol can or has multiple warnings must be stored under lock and key, combination lock, or magnetic lock. 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 9/20/2024. Email the compliance letter on signed letterhead or in 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 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: - Hold harmless has been extended until the new QRIS is implemented (SB 425). This means providers in Cohort 1 are not required to go any further with a rated license assessment unless they want to, and providers in Cohort 2 do not need to start their preparation year. - Picture hand washing procedures need to be posted at each handwashing sink. You had words posted but the children cannot read the words. - The child care law poster posted was dated 2016 and the current law poster was left with you to post. - When removing the trash from the can with lid, ensure that the can and lid do not restrict the exit at the back of the room near the bathrooms. - Keep a close eye on the opening at the base of the fence near the back left corner of the storage unit outside. To be proactive, I would recommend that you add dirt to fill the hole or black tubing to attach to the base of the fence. 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. 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. 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 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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 .0601 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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 .0605 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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 .3005 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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 .3009 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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. 110-91 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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

NC GS 110-90 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 1/22/2024 Number Present: 4 Completed Date: 1/22/2024 Age: From 3 To 5 Total Minutes: 215 Time In: 11:10 AM Time Out: 02:45 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 Eugenia “Geni” Waters, Long-term Lead Teacher, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Upon arrival, I checked in at the front office and walked to the mobile unit. When I arrived at the mobile unit, I was greeted by Eugenia “Geni” Waters, Long-term Lead Teacher. Eugenia “Geni” Waters, Long-term 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 program operates with a Five (5) Star Rated License, issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three years old, meets enhanced space, and meets reduced ratios. Approved for NC Pre-Kindergarten and Head Start. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-one percent (91%) as of 1/12/2023. The North Carolina Secretary of State website was viewed prior to today’s visit and Western Carolina Community Action, Inc. is current/active as of 1/12/2024. The last annual compliance visit was conducted on 2/1/2023. The last fire drill was practiced on 12/19/2023. The last shelter-in-place drill was practiced on 12/12/2023. The last playground inspection was documented on 12/15/2023. The last fire inspection was approved on 9/15/23. The last sanitation inspection was conducted on 10/6/2023 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response (EPR) plan was current and updated on 9/7/2023. The approved curriculum for four-year-old children is Creative Curriculum. During the visit, I observed the group with three- to five-year-old children transitioning to nap time. During nap time, the children rested on their cots and one child did not rest and the teacher assistant sat with the child and read a story. The child was also given options of toys to engaging play with during nap time. At 12:03p, the Leslie Hales, Family Service Advocate arrived to assist with a parent meeting for a new enrollee. At 12:20p, the parent of the new enrollee arrived along with the child that is enrolling and three (3) siblings. Ms. Waters and Ms. Hales met with the parent and child to review the parent packet prior to starting in the classroom. The new enrolling child explored the classroom. After the meeting, the new enrollee and family left the facility and the enrolled children began to wake up from nap time. Snack today consisted of animal crackers, and apple juice. All medications were monitored and meet requirement. 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. Staff-child ratios and maximum group sizes required in Child Care Rule 10A NCAC 09 .3009 were verified in compliance. A selection of files were monitored for completed health assessments and developmental screenings. You stated you have completed the developmental screenings. The center uses the Teaching Strategies Gold instrument to document evidence of children's ongoing progress and documentation was viewed today. The first day of school was August 28, 2023. The classroom operates from 7:30 a.m. to 2:00 p.m. Parent conferences are held at least two (2) times per year. You stated that you use Remind to communicate with parents. In addition, a newsletter is sent home to the parents which includes any information about the child’s day and any reminders. You verified that you incorporate family engagement by showing sign in sheets for family events. 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 721 All equipment and furnishings were not in good repair. Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. G.S. 110-91(6); .0601(b) 824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. GS 110-91(6); .0605((i) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. .1101(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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. .1101(a)(b) 1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. Child CS enrolled 8/22/2023 health assessment was not on file for review. .3005(a) 1767 The health assessment did not include a vision screening. Child CS enrolled 8/22/2023 vision screening was not on file for review .3005 (a)(3) 1768 The health assessment did not include a hearing screening. Child CS enrolled 8/22/2023 hearing screening was not on file for review. .3005 (a)(4) 1769 The health assessment did not include a dental screening. Child CS enrolled 8/22/2023 dental screening was not on file for review. .3005 (a)(5) Technical assistance was provided as follows: Item #721 All equipment and furnishings were not in good repair. 10A NCAC 09 .0601 SAFE ENVIRONMENT (d) All equipment and furnishings not meeting the requirements of Paragraphs (b) and (c) of this Rule shall be removed from the premises immediately or made inaccessible to the children. -Outside, the blue Rubbermaid storage container was broken with sharp edges, and the blue plastic plate was broken with sharp edges. I suggest removing the broken storage container and plastic plate. Item #824 Outdoor play area was not enclosed by fence with a minimum height of 4 feet. The top of the fence, less than six feet, was not free from protrusions. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (i) The outdoor play area shall be protected by a fence. The height shall be a minimum of four feet and the top of the fence shall be free of protrusions. The requirement disallowing protrusions on the tops of fences shall not apply to fences six feet high or above. The fencing shall exclude fixed bodies of water such as ditches, quarries, canals, excavations, and fish ponds. Gates to the fenced outdoor play area shall remain closed while children occupy the area. -Outside, the fence height enclosing the playground did not measure four (4) feet. The measurement in the front right corner measured three (3) feet, right side midway down measured three (3) feet nine (9) inches, left side measured three (3) feet nine (9) inches, back three (3) feet ten (10) inches, front measured three (3) ten (10) inches. I suggest adding a fence extender or lattice to the top of the fence to increase the fence height. Item #1045 New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. 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. -Staff member RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive sixteen (16) clock hours within the first six (6) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics. 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 RF hired 9/8/2023 and OS hired 10/23/2023 staff did not receive six (6) clock hours within the first two (2) weeks of employment. Health and Safety Moodle trainings must be completed in addition to orientation training topics Item #1764 A health assessment was not on file at the NC Pre-K site within 30 days after a child entered the NC Pre-K program or the health assessment was more than 12 months old at the time of program entry. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (1) physical examination; (2) updated immunizations; (3) vision screening; (4) hearing screening; and (5) dental screening. -Child CS enrolled 8/22/2023 health assessment was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Item #1767 The health assessment did not include a vision screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (3) vision screening; -Child CS enrolled 8/22/2023 vision screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item #1768 The health assessment did not include a hearing screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (4) hearing screening; and -Child CS enrolled 8/22/2023 hearing screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file Item#1769 The health assessment did not include a dental screening. 10A NCAC 09 .3005 CHILD HEALTH ASSESSMENTS (a) A health assessment shall be on file at the NC Pre-K site within 30 days after a child enters the NC Pre-K program and the assessment may be no more than 12 months old at the time of program entry. The health assessment shall include the following: (5) dental screening. -Child CS enrolled 8/22/2023 dental screening was not on file for review. I suggest reviewing files prior to children starting in the classroom to ensure all items are on file. Corrective Action Plan: 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 2/5/2024. Email the compliance letter on signed letterhead or in 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 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: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. -Staff member EW has until April 12, 2024 to obtain fifteen (15) on-going training hours. Currently, staff member EW has eight (8) on-going training hours documented. 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 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. 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. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 11 Completed Date: 9/19/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:50 AM Time Out: 01:10 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. Upon arrival, the purpose of today’s visit was reviewed with you, Nancy Kodish, Lead Teacher. 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 Nancy Kodish, Lead Teacher during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three (3) years old, meets enhanced space, and meets reduced ratios. Nancy Kodish, Lead Teacher was available to assist with questions. The program’s annual compliance visit was conducted on 2/1/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to Eugenia “Genie” Waters, Teacher Assistant. Ms. Waters introduced me to Ms. Horne and Ms. Falanga. Ms. Waters stated that the lead teacher was using the restroom. The lead teacher returned to the playground and Ms. Waters left for a restroom break. I introduced myself to Ms. Kodish. The group of three- to four-year-old children were engaged in outdoor gross motor play with the coupe cars, trikes, wagon, mud kitchen, sand, foam blocks, and bubbles. At 10:25a a gentlemen approached the fence while outside. Ms. Waters stated that it was a father adding additional emergency contact to the pick-up list. A ten (10) minute clean up warning was given to the children prior to clean up and transitioning indoors. Then another warning was given. After the time was up, the children began cleaning up and preparing to transition indoors. Once indoors, the children sat in their cubbies and was given hand sanitizer. After getting settled, the lead teacher read the children a story. The teacher assistant washed her hands and began to prepare the tables for lunch. After the tables were ready for lunch, the teacher assistant began to call for children to use the restroom, wash hands, and sit at the table for lunch. All caregiving interactions were positive and nurturing. Lunch today consisted of bbq sandwich, fruit juice Italian ice, tater tots, and milk. The last fire drill was practiced on 8/30/23. The last emergency drill, lockdown drill, was practiced on 9/7/23. The last fire inspection was approved on 9/15/23. The program’s most recent sanitation inspection was completed on 10/7/2022, with seven (7) demerits. The Emergency Preparedness and Response plan is current as of 10/6/22. The Emergency Medical Care Plan is posted and was updated in 8/16/23. The approved curriculum is the Creative Curriculum. The formative assessment is Teaching Strategies Gold. The developmental screening is the Brigance and Ages and Stages Questionnaires, Third edition (ASQ-3). Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is three (3) 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. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Box cutter located in the top right unlocked teacher desk drawer. The teacher corrected during the visit. .0604(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) bottles of liquid white out located in the top right unlocked teacher desk drawer. One (1) pack of Lysol Disinfectant wipes was located in the paper holder on top of the teachers desk. The teacher moved these to a locked cabinet during the visit. .2820(b) Technical Assistance for Correction Plan: Item #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Box cutter located in the top right unlocked teacher desk drawer. The teacher corrected during the visit. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) bottles of liquid white out located in the top right unlocked teacher desk drawer. One (1) pack of Lysol Disinfectant wipes was located in the paper holder on top of the teachers desk. The teacher moved these to a locked cabinet during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Sanitation inspection is due to be completed by 10/31/2023. - Health and Safety training topics are in addition to the required six weeks of orientation training hours. The six weeks of orientation training topics should address the facility expectations and requirements for each topic. - Hazardous products with additional warnings must be locked at all times. - Adult tools including a box cutter must be locked at all times. 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 .0604 · Violation

Name of Operation: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 11 Completed Date: 9/19/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:50 AM Time Out: 01:10 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. Upon arrival, the purpose of today’s visit was reviewed with you, Nancy Kodish, Lead Teacher. 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 Nancy Kodish, Lead Teacher during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three (3) years old, meets enhanced space, and meets reduced ratios. Nancy Kodish, Lead Teacher was available to assist with questions. The program’s annual compliance visit was conducted on 2/1/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to Eugenia “Genie” Waters, Teacher Assistant. Ms. Waters introduced me to Ms. Horne and Ms. Falanga. Ms. Waters stated that the lead teacher was using the restroom. The lead teacher returned to the playground and Ms. Waters left for a restroom break. I introduced myself to Ms. Kodish. The group of three- to four-year-old children were engaged in outdoor gross motor play with the coupe cars, trikes, wagon, mud kitchen, sand, foam blocks, and bubbles. At 10:25a a gentlemen approached the fence while outside. Ms. Waters stated that it was a father adding additional emergency contact to the pick-up list. A ten (10) minute clean up warning was given to the children prior to clean up and transitioning indoors. Then another warning was given. After the time was up, the children began cleaning up and preparing to transition indoors. Once indoors, the children sat in their cubbies and was given hand sanitizer. After getting settled, the lead teacher read the children a story. The teacher assistant washed her hands and began to prepare the tables for lunch. After the tables were ready for lunch, the teacher assistant began to call for children to use the restroom, wash hands, and sit at the table for lunch. All caregiving interactions were positive and nurturing. Lunch today consisted of bbq sandwich, fruit juice Italian ice, tater tots, and milk. The last fire drill was practiced on 8/30/23. The last emergency drill, lockdown drill, was practiced on 9/7/23. The last fire inspection was approved on 9/15/23. The program’s most recent sanitation inspection was completed on 10/7/2022, with seven (7) demerits. The Emergency Preparedness and Response plan is current as of 10/6/22. The Emergency Medical Care Plan is posted and was updated in 8/16/23. The approved curriculum is the Creative Curriculum. The formative assessment is Teaching Strategies Gold. The developmental screening is the Brigance and Ages and Stages Questionnaires, Third edition (ASQ-3). Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is three (3) 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. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Box cutter located in the top right unlocked teacher desk drawer. The teacher corrected during the visit. .0604(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) bottles of liquid white out located in the top right unlocked teacher desk drawer. One (1) pack of Lysol Disinfectant wipes was located in the paper holder on top of the teachers desk. The teacher moved these to a locked cabinet during the visit. .2820(b) Technical Assistance for Correction Plan: Item #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Box cutter located in the top right unlocked teacher desk drawer. The teacher corrected during the visit. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) bottles of liquid white out located in the top right unlocked teacher desk drawer. One (1) pack of Lysol Disinfectant wipes was located in the paper holder on top of the teachers desk. The teacher moved these to a locked cabinet during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Sanitation inspection is due to be completed by 10/31/2023. - Health and Safety training topics are in addition to the required six weeks of orientation training hours. The six weeks of orientation training topics should address the facility expectations and requirements for each topic. - Hazardous products with additional warnings must be locked at all times. - Adult tools including a box cutter must be locked at all times. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 11 Completed Date: 9/19/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:50 AM Time Out: 01:10 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. Upon arrival, the purpose of today’s visit was reviewed with you, Nancy Kodish, Lead Teacher. 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 Nancy Kodish, Lead Teacher during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three (3) years old, meets enhanced space, and meets reduced ratios. Nancy Kodish, Lead Teacher was available to assist with questions. The program’s annual compliance visit was conducted on 2/1/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to Eugenia “Genie” Waters, Teacher Assistant. Ms. Waters introduced me to Ms. Horne and Ms. Falanga. Ms. Waters stated that the lead teacher was using the restroom. The lead teacher returned to the playground and Ms. Waters left for a restroom break. I introduced myself to Ms. Kodish. The group of three- to four-year-old children were engaged in outdoor gross motor play with the coupe cars, trikes, wagon, mud kitchen, sand, foam blocks, and bubbles. At 10:25a a gentlemen approached the fence while outside. Ms. Waters stated that it was a father adding additional emergency contact to the pick-up list. A ten (10) minute clean up warning was given to the children prior to clean up and transitioning indoors. Then another warning was given. After the time was up, the children began cleaning up and preparing to transition indoors. Once indoors, the children sat in their cubbies and was given hand sanitizer. After getting settled, the lead teacher read the children a story. The teacher assistant washed her hands and began to prepare the tables for lunch. After the tables were ready for lunch, the teacher assistant began to call for children to use the restroom, wash hands, and sit at the table for lunch. All caregiving interactions were positive and nurturing. Lunch today consisted of bbq sandwich, fruit juice Italian ice, tater tots, and milk. The last fire drill was practiced on 8/30/23. The last emergency drill, lockdown drill, was practiced on 9/7/23. The last fire inspection was approved on 9/15/23. The program’s most recent sanitation inspection was completed on 10/7/2022, with seven (7) demerits. The Emergency Preparedness and Response plan is current as of 10/6/22. The Emergency Medical Care Plan is posted and was updated in 8/16/23. The approved curriculum is the Creative Curriculum. The formative assessment is Teaching Strategies Gold. The developmental screening is the Brigance and Ages and Stages Questionnaires, Third edition (ASQ-3). Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is three (3) 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. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Box cutter located in the top right unlocked teacher desk drawer. The teacher corrected during the visit. .0604(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) bottles of liquid white out located in the top right unlocked teacher desk drawer. One (1) pack of Lysol Disinfectant wipes was located in the paper holder on top of the teachers desk. The teacher moved these to a locked cabinet during the visit. .2820(b) Technical Assistance for Correction Plan: Item #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Box cutter located in the top right unlocked teacher desk drawer. The teacher corrected during the visit. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) bottles of liquid white out located in the top right unlocked teacher desk drawer. One (1) pack of Lysol Disinfectant wipes was located in the paper holder on top of the teachers desk. The teacher moved these to a locked cabinet during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Sanitation inspection is due to be completed by 10/31/2023. - Health and Safety training topics are in addition to the required six weeks of orientation training hours. The six weeks of orientation training topics should address the facility expectations and requirements for each topic. - Hazardous products with additional warnings must be locked at all times. - Adult tools including a box cutter must be locked at all times. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 11 Completed Date: 9/19/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:50 AM Time Out: 01:10 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. Upon arrival, the purpose of today’s visit was reviewed with you, Nancy Kodish, Lead Teacher. 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 Nancy Kodish, Lead Teacher during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three (3) years old, meets enhanced space, and meets reduced ratios. Nancy Kodish, Lead Teacher was available to assist with questions. The program’s annual compliance visit was conducted on 2/1/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to Eugenia “Genie” Waters, Teacher Assistant. Ms. Waters introduced me to Ms. Horne and Ms. Falanga. Ms. Waters stated that the lead teacher was using the restroom. The lead teacher returned to the playground and Ms. Waters left for a restroom break. I introduced myself to Ms. Kodish. The group of three- to four-year-old children were engaged in outdoor gross motor play with the coupe cars, trikes, wagon, mud kitchen, sand, foam blocks, and bubbles. At 10:25a a gentlemen approached the fence while outside. Ms. Waters stated that it was a father adding additional emergency contact to the pick-up list. A ten (10) minute clean up warning was given to the children prior to clean up and transitioning indoors. Then another warning was given. After the time was up, the children began cleaning up and preparing to transition indoors. Once indoors, the children sat in their cubbies and was given hand sanitizer. After getting settled, the lead teacher read the children a story. The teacher assistant washed her hands and began to prepare the tables for lunch. After the tables were ready for lunch, the teacher assistant began to call for children to use the restroom, wash hands, and sit at the table for lunch. All caregiving interactions were positive and nurturing. Lunch today consisted of bbq sandwich, fruit juice Italian ice, tater tots, and milk. The last fire drill was practiced on 8/30/23. The last emergency drill, lockdown drill, was practiced on 9/7/23. The last fire inspection was approved on 9/15/23. The program’s most recent sanitation inspection was completed on 10/7/2022, with seven (7) demerits. The Emergency Preparedness and Response plan is current as of 10/6/22. The Emergency Medical Care Plan is posted and was updated in 8/16/23. The approved curriculum is the Creative Curriculum. The formative assessment is Teaching Strategies Gold. The developmental screening is the Brigance and Ages and Stages Questionnaires, Third edition (ASQ-3). Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is three (3) 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. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Box cutter located in the top right unlocked teacher desk drawer. The teacher corrected during the visit. .0604(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) bottles of liquid white out located in the top right unlocked teacher desk drawer. One (1) pack of Lysol Disinfectant wipes was located in the paper holder on top of the teachers desk. The teacher moved these to a locked cabinet during the visit. .2820(b) Technical Assistance for Correction Plan: Item #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Box cutter located in the top right unlocked teacher desk drawer. The teacher corrected during the visit. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) bottles of liquid white out located in the top right unlocked teacher desk drawer. One (1) pack of Lysol Disinfectant wipes was located in the paper holder on top of the teachers desk. The teacher moved these to a locked cabinet during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Sanitation inspection is due to be completed by 10/31/2023. - Health and Safety training topics are in addition to the required six weeks of orientation training hours. The six weeks of orientation training topics should address the facility expectations and requirements for each topic. - Hazardous products with additional warnings must be locked at all times. - Adult tools including a box cutter must be locked at all times. 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: GLEN ARDEN ELEMENTARY HEAD START Facility ID: 11000599 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 9/19/2023 Number Present: 11 Completed Date: 9/19/2023 Age: From 3 To 4 Total Minutes: 200 Time In: 09:50 AM Time Out: 01:10 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. Upon arrival, the purpose of today’s visit was reviewed with you, Nancy Kodish, Lead Teacher. 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 Nancy Kodish, Lead Teacher during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Your program currently operates with a Five (5) Star Rated License issued 1/4/2018. The permit restrictions were in compliance including first shift, no children under three (3) years old, meets enhanced space, and meets reduced ratios. Nancy Kodish, Lead Teacher was available to assist with questions. The program’s annual compliance visit was conducted on 2/1/2023. The following items were monitored today: Supervision Staff / Child Ratio CPR / First Aid Special Training CBC Qualification ITS – SIDS Emergency Medical Care Plan Administration of Medication Storage of Hazardous Products Storage of Medication General Safety Discipline Adequate / Approved Space Program Records License Posted Permit Restrictions Upon arrival, I introduced myself to Eugenia “Genie” Waters, Teacher Assistant. Ms. Waters introduced me to Ms. Horne and Ms. Falanga. Ms. Waters stated that the lead teacher was using the restroom. The lead teacher returned to the playground and Ms. Waters left for a restroom break. I introduced myself to Ms. Kodish. The group of three- to four-year-old children were engaged in outdoor gross motor play with the coupe cars, trikes, wagon, mud kitchen, sand, foam blocks, and bubbles. At 10:25a a gentlemen approached the fence while outside. Ms. Waters stated that it was a father adding additional emergency contact to the pick-up list. A ten (10) minute clean up warning was given to the children prior to clean up and transitioning indoors. Then another warning was given. After the time was up, the children began cleaning up and preparing to transition indoors. Once indoors, the children sat in their cubbies and was given hand sanitizer. After getting settled, the lead teacher read the children a story. The teacher assistant washed her hands and began to prepare the tables for lunch. After the tables were ready for lunch, the teacher assistant began to call for children to use the restroom, wash hands, and sit at the table for lunch. All caregiving interactions were positive and nurturing. Lunch today consisted of bbq sandwich, fruit juice Italian ice, tater tots, and milk. The last fire drill was practiced on 8/30/23. The last emergency drill, lockdown drill, was practiced on 9/7/23. The last fire inspection was approved on 9/15/23. The program’s most recent sanitation inspection was completed on 10/7/2022, with seven (7) demerits. The Emergency Preparedness and Response plan is current as of 10/6/22. The Emergency Medical Care Plan is posted and was updated in 8/16/23. The approved curriculum is the Creative Curriculum. The formative assessment is Teaching Strategies Gold. The developmental screening is the Brigance and Ages and Stages Questionnaires, Third edition (ASQ-3). Limited monitoring of staff files was conducted for the purpose of reviewing training regarding CPR/First Aid, EPR, Playground Safety, ITS-SIDS, Special Training including Health and Safety Training and Criminal Background Checks. There is three (3) 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. The NC Pre-K monitoring tool on-site was completed for the 2022-2023 school year. The site monitoring tool for the 2023-2024 school year is not due to be submitted until October 31, 2023. The site monitoring tool will be reviewed during the annual compliance visit. The following violations of child care requirements were observed today: Violation Number Comment Rule 811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. Box cutter located in the top right unlocked teacher desk drawer. The teacher corrected during the visit. .0604(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Two (2) bottles of liquid white out located in the top right unlocked teacher desk drawer. One (1) pack of Lysol Disinfectant wipes was located in the paper holder on top of the teachers desk. The teacher moved these to a locked cabinet during the visit. .2820(b) Technical Assistance for Correction Plan: Item #811 Potentially hazardous items including but not limited to power tools, nails, chemicals, propane stoves, lawn mowers, gasoline, or kerosene were not stored in locked areas, removed from the premises, or made inaccessible to children. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (a) In child care centers, potentially hazardous items, including power tools, nails, chemicals, propane stoves, lawn mowers, and gasoline or kerosene, whether or not intended for use by children, shall be stored in locked areas, removed from the premises, or otherwise inaccessible to children. - Box cutter located in the top right unlocked teacher desk drawer. The teacher corrected during the visit. Item #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. 15A NCAC 18A .2820 STORAGE (b) 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 shall be kept in its original container or in another labeled container, used according to the manufacturer's instructions and stored in a locked storage room or cabinet when not in use. Locked storage rooms and cabinets shall include those which are unlocked with a combination, electronic or magnetic device, key, or equivalent locking device. These unlocking devices shall be kept out of the reach of a child and shall not be stored in the lock. Toxic substances shall be stored below or separate from medications and food. Any product not listed above, which is labeled "keep out of reach of children" without any other warnings, shall be kept inaccessible to children when not in use, but is not required to be kept in locked storage. The product shall be considered inaccessible to children when stored on a shelf or in an unlocked cabinet that is mounted a minimum vertical distance of five feet above the finished floor. - Two (2) bottles of liquid white out located in the top right unlocked teacher desk drawer. One (1) pack of Lysol Disinfectant wipes was located in the paper holder on top of the teachers desk. The teacher moved these to a locked cabinet during the visit. Consultation: Today, we discussed the following: - We discussed that you are a part of Cohort 1 for rated license reassessments. The programs year of preparation will begin 7/1/2023 and end 6/30/2024. The assessment year will begin 7/1/2024 and end 6/30/2025. We discussed that each staff member will need to update their WORKS account to reflect their most recently completed education. Also, be sure to take advantage of the preparation year assessment. The benefits of taking advantage to the preparation year assessment are: the scores do not have to count, assessment results can help build understanding of the current program situations, and programs can choose to have additional assessments later for licensure. Please review the Preparation Year: Environment Rating Scale Assessment and Preparation Year: Activities and Ideas for cohort 1, 2, and 3 resources that I left with you today. - Sanitation inspection is due to be completed by 10/31/2023. - Health and Safety training topics are in addition to the required six weeks of orientation training hours. The six weeks of orientation training topics should address the facility expectations and requirements for each topic. - Hazardous products with additional warnings must be locked at all times. - Adult tools including a box cutter must be locked at all times. 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