10A NCAC 09 .0601 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/5/2025 Number Present: 47 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 09:55 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Kim Morrow, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Morrow, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, 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-one percent (91%) as of 10/30/2025. Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 12/5/2024. The last fire drill was practiced on 10/20/2025. The last lockdown drill was practiced on 9/29/2025. The last playground inspection was documented on 10/27/2025. The last fire inspection was approved on 11/7/2024. I recommend contacting the Fire Marshall to verify you are on their schedule for an annual inspection to be conducted in the near future. The last sanitation inspection was conducted on 10/6/2025 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/6/2024 without hazards. Lead paint and asbestos testing was completed on 3/20/2024. The program does not provide transportation. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, large cube toy, and activity seats. All children were exploring the room. The staff members were meeting the individual needs of the children. After exploring the room, the staff member assisted the children with washing hands and preparing for lunch. Space #2, the group of one-to-two-year-olds were engaged in free play with riding toys, trucks, balls, baby dolls, waffle blocks. The staff member was moving about the room and engaging play with the children. After free play, the group washed hands and prepared for lunch. During nap time, the staff member was sitting in the middle of the room close to the children. The room used natural lighting and calming music to assist the children with resting. Space #3, the group of two- to three-year-old children were engaged in outdoor gross motor play. Upon arrival into the classroom at 10:20a, the group entered the classroom sat down in the middle of the room. Staff members assisted the children with taking off their coats and putting them away. Then the children returned to sit down. At 10:26a, the staff member began handing out buckets of toys for the children to engage in play with. The staff and children were not observed washing hands upon arrival into the classroom. During the observation, the administrator and I discussed that the staff members and children must wash their hands upon arrival into the classroom from outdoor gross motor play. Space #4, the group of three- to four-year-old children were engaged in free play with legos, magnetic tiles, books, and links. The staff members were stationed in a central location to actively supervise all the children. After free play, the group transitioned outdoor for gross motor play. While monitoring the classroom, I observed a child stepping on a cot and falling on it. The cot sheet was not replaced until it was brought to their attention. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Space #5, the group of four- to five-year-old children were engaged in free play with legos, links, lacing, and blocks. The staff member was moving about the room supervising and cleaning as needed. After free play, the class transitioned outdoors for gross motor play. Lunch consisted of fish sticks, bake beans, potatoes, bread, and milk. While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed continuing to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility would like to pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. We discussed the facility would need to look into a curriculum for all ages, and the administrator would need to be looking into coaching/training options. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(a) 613 Crib sheets were not changed as needed or at least daily. Space #4, a child was observed stepping on a cot and then falling onto the cot. 15A NCAC 18A .2821(f) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. .1103(a) Technical assistance was provided as follows: Item 608- Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after children put their coats away, the children go to the sink to wash hands and then engage in free play. After free play is over and prior to lunch being served, children would clean up, wash hands, and then go to the table for lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Item 609- Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after assisting children with putting their coats away, staff would go to the sink to wash hands and continue assisting children as needed. Reminder gloves do not take the place for hand washing. When free play is over, staff would need to wash hands prior to serving lunch or assisting children with lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. Item 613- Space #4, a child was observed stepping on a cot and then falling onto the cot. When the situation was brought to the administrators attention, the cot sheet was replaced during the visit. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Rule Reference: 15A NCAC 18A.2821(f) Item 807- While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed to continue to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. Rule Reference: 10A NCAC 09 .0601(a) Item 1052- One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. The administrator stated that the staff member had left for one (1) month and returned 5/30/2025. The staff members’ employment was never terminated in the facilities books. It was as the employee was on leave. We discussed the staff members’ training hours were due by 8/9/2025, if the employment was not officially terminated. Rule Reference: 10A NCAC 09.1103(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/19/2025. 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 conducting a staff meeting to review with staff when staff and children should wash hands. -I recommended reaching out to Chrissy Wolfe, Child Care Health Consultant, at chrissy.wolfe@mahec.net or 828-424-0562 to request training on handwashing for children and staff. -We discussed reviewing the weather watch chart to review how to determine when to reduce your time outdoors due to the wind chill. Remind staff that children of all ages are to go outside daily. The daily schedules have the time broken up into two (2) timeframes morning and afternoon. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/5/2025 Number Present: 47 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 09:55 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Kim Morrow, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Morrow, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, 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-one percent (91%) as of 10/30/2025. Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 12/5/2024. The last fire drill was practiced on 10/20/2025. The last lockdown drill was practiced on 9/29/2025. The last playground inspection was documented on 10/27/2025. The last fire inspection was approved on 11/7/2024. I recommend contacting the Fire Marshall to verify you are on their schedule for an annual inspection to be conducted in the near future. The last sanitation inspection was conducted on 10/6/2025 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/6/2024 without hazards. Lead paint and asbestos testing was completed on 3/20/2024. The program does not provide transportation. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, large cube toy, and activity seats. All children were exploring the room. The staff members were meeting the individual needs of the children. After exploring the room, the staff member assisted the children with washing hands and preparing for lunch. Space #2, the group of one-to-two-year-olds were engaged in free play with riding toys, trucks, balls, baby dolls, waffle blocks. The staff member was moving about the room and engaging play with the children. After free play, the group washed hands and prepared for lunch. During nap time, the staff member was sitting in the middle of the room close to the children. The room used natural lighting and calming music to assist the children with resting. Space #3, the group of two- to three-year-old children were engaged in outdoor gross motor play. Upon arrival into the classroom at 10:20a, the group entered the classroom sat down in the middle of the room. Staff members assisted the children with taking off their coats and putting them away. Then the children returned to sit down. At 10:26a, the staff member began handing out buckets of toys for the children to engage in play with. The staff and children were not observed washing hands upon arrival into the classroom. During the observation, the administrator and I discussed that the staff members and children must wash their hands upon arrival into the classroom from outdoor gross motor play. Space #4, the group of three- to four-year-old children were engaged in free play with legos, magnetic tiles, books, and links. The staff members were stationed in a central location to actively supervise all the children. After free play, the group transitioned outdoor for gross motor play. While monitoring the classroom, I observed a child stepping on a cot and falling on it. The cot sheet was not replaced until it was brought to their attention. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Space #5, the group of four- to five-year-old children were engaged in free play with legos, links, lacing, and blocks. The staff member was moving about the room supervising and cleaning as needed. After free play, the class transitioned outdoors for gross motor play. Lunch consisted of fish sticks, bake beans, potatoes, bread, and milk. While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed continuing to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility would like to pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. We discussed the facility would need to look into a curriculum for all ages, and the administrator would need to be looking into coaching/training options. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(a) 613 Crib sheets were not changed as needed or at least daily. Space #4, a child was observed stepping on a cot and then falling onto the cot. 15A NCAC 18A .2821(f) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. .1103(a) Technical assistance was provided as follows: Item 608- Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after children put their coats away, the children go to the sink to wash hands and then engage in free play. After free play is over and prior to lunch being served, children would clean up, wash hands, and then go to the table for lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Item 609- Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after assisting children with putting their coats away, staff would go to the sink to wash hands and continue assisting children as needed. Reminder gloves do not take the place for hand washing. When free play is over, staff would need to wash hands prior to serving lunch or assisting children with lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. Item 613- Space #4, a child was observed stepping on a cot and then falling onto the cot. When the situation was brought to the administrators attention, the cot sheet was replaced during the visit. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Rule Reference: 15A NCAC 18A.2821(f) Item 807- While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed to continue to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. Rule Reference: 10A NCAC 09 .0601(a) Item 1052- One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. The administrator stated that the staff member had left for one (1) month and returned 5/30/2025. The staff members’ employment was never terminated in the facilities books. It was as the employee was on leave. We discussed the staff members’ training hours were due by 8/9/2025, if the employment was not officially terminated. Rule Reference: 10A NCAC 09.1103(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/19/2025. 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 conducting a staff meeting to review with staff when staff and children should wash hands. -I recommended reaching out to Chrissy Wolfe, Child Care Health Consultant, at chrissy.wolfe@mahec.net or 828-424-0562 to request training on handwashing for children and staff. -We discussed reviewing the weather watch chart to review how to determine when to reduce your time outdoors due to the wind chill. Remind staff that children of all ages are to go outside daily. The daily schedules have the time broken up into two (2) timeframes morning and afternoon. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/5/2025 Number Present: 47 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 09:55 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Kim Morrow, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Morrow, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, 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-one percent (91%) as of 10/30/2025. Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 12/5/2024. The last fire drill was practiced on 10/20/2025. The last lockdown drill was practiced on 9/29/2025. The last playground inspection was documented on 10/27/2025. The last fire inspection was approved on 11/7/2024. I recommend contacting the Fire Marshall to verify you are on their schedule for an annual inspection to be conducted in the near future. The last sanitation inspection was conducted on 10/6/2025 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/6/2024 without hazards. Lead paint and asbestos testing was completed on 3/20/2024. The program does not provide transportation. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, large cube toy, and activity seats. All children were exploring the room. The staff members were meeting the individual needs of the children. After exploring the room, the staff member assisted the children with washing hands and preparing for lunch. Space #2, the group of one-to-two-year-olds were engaged in free play with riding toys, trucks, balls, baby dolls, waffle blocks. The staff member was moving about the room and engaging play with the children. After free play, the group washed hands and prepared for lunch. During nap time, the staff member was sitting in the middle of the room close to the children. The room used natural lighting and calming music to assist the children with resting. Space #3, the group of two- to three-year-old children were engaged in outdoor gross motor play. Upon arrival into the classroom at 10:20a, the group entered the classroom sat down in the middle of the room. Staff members assisted the children with taking off their coats and putting them away. Then the children returned to sit down. At 10:26a, the staff member began handing out buckets of toys for the children to engage in play with. The staff and children were not observed washing hands upon arrival into the classroom. During the observation, the administrator and I discussed that the staff members and children must wash their hands upon arrival into the classroom from outdoor gross motor play. Space #4, the group of three- to four-year-old children were engaged in free play with legos, magnetic tiles, books, and links. The staff members were stationed in a central location to actively supervise all the children. After free play, the group transitioned outdoor for gross motor play. While monitoring the classroom, I observed a child stepping on a cot and falling on it. The cot sheet was not replaced until it was brought to their attention. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Space #5, the group of four- to five-year-old children were engaged in free play with legos, links, lacing, and blocks. The staff member was moving about the room supervising and cleaning as needed. After free play, the class transitioned outdoors for gross motor play. Lunch consisted of fish sticks, bake beans, potatoes, bread, and milk. While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed continuing to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility would like to pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. We discussed the facility would need to look into a curriculum for all ages, and the administrator would need to be looking into coaching/training options. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(a) 613 Crib sheets were not changed as needed or at least daily. Space #4, a child was observed stepping on a cot and then falling onto the cot. 15A NCAC 18A .2821(f) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. .1103(a) Technical assistance was provided as follows: Item 608- Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after children put their coats away, the children go to the sink to wash hands and then engage in free play. After free play is over and prior to lunch being served, children would clean up, wash hands, and then go to the table for lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Item 609- Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after assisting children with putting their coats away, staff would go to the sink to wash hands and continue assisting children as needed. Reminder gloves do not take the place for hand washing. When free play is over, staff would need to wash hands prior to serving lunch or assisting children with lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. Item 613- Space #4, a child was observed stepping on a cot and then falling onto the cot. When the situation was brought to the administrators attention, the cot sheet was replaced during the visit. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Rule Reference: 15A NCAC 18A.2821(f) Item 807- While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed to continue to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. Rule Reference: 10A NCAC 09 .0601(a) Item 1052- One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. The administrator stated that the staff member had left for one (1) month and returned 5/30/2025. The staff members’ employment was never terminated in the facilities books. It was as the employee was on leave. We discussed the staff members’ training hours were due by 8/9/2025, if the employment was not officially terminated. Rule Reference: 10A NCAC 09.1103(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/19/2025. 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 conducting a staff meeting to review with staff when staff and children should wash hands. -I recommended reaching out to Chrissy Wolfe, Child Care Health Consultant, at chrissy.wolfe@mahec.net or 828-424-0562 to request training on handwashing for children and staff. -We discussed reviewing the weather watch chart to review how to determine when to reduce your time outdoors due to the wind chill. Remind staff that children of all ages are to go outside daily. The daily schedules have the time broken up into two (2) timeframes morning and afternoon. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/5/2025 Number Present: 47 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 09:55 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Kim Morrow, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Morrow, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, 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-one percent (91%) as of 10/30/2025. Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 12/5/2024. The last fire drill was practiced on 10/20/2025. The last lockdown drill was practiced on 9/29/2025. The last playground inspection was documented on 10/27/2025. The last fire inspection was approved on 11/7/2024. I recommend contacting the Fire Marshall to verify you are on their schedule for an annual inspection to be conducted in the near future. The last sanitation inspection was conducted on 10/6/2025 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/6/2024 without hazards. Lead paint and asbestos testing was completed on 3/20/2024. The program does not provide transportation. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, large cube toy, and activity seats. All children were exploring the room. The staff members were meeting the individual needs of the children. After exploring the room, the staff member assisted the children with washing hands and preparing for lunch. Space #2, the group of one-to-two-year-olds were engaged in free play with riding toys, trucks, balls, baby dolls, waffle blocks. The staff member was moving about the room and engaging play with the children. After free play, the group washed hands and prepared for lunch. During nap time, the staff member was sitting in the middle of the room close to the children. The room used natural lighting and calming music to assist the children with resting. Space #3, the group of two- to three-year-old children were engaged in outdoor gross motor play. Upon arrival into the classroom at 10:20a, the group entered the classroom sat down in the middle of the room. Staff members assisted the children with taking off their coats and putting them away. Then the children returned to sit down. At 10:26a, the staff member began handing out buckets of toys for the children to engage in play with. The staff and children were not observed washing hands upon arrival into the classroom. During the observation, the administrator and I discussed that the staff members and children must wash their hands upon arrival into the classroom from outdoor gross motor play. Space #4, the group of three- to four-year-old children were engaged in free play with legos, magnetic tiles, books, and links. The staff members were stationed in a central location to actively supervise all the children. After free play, the group transitioned outdoor for gross motor play. While monitoring the classroom, I observed a child stepping on a cot and falling on it. The cot sheet was not replaced until it was brought to their attention. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Space #5, the group of four- to five-year-old children were engaged in free play with legos, links, lacing, and blocks. The staff member was moving about the room supervising and cleaning as needed. After free play, the class transitioned outdoors for gross motor play. Lunch consisted of fish sticks, bake beans, potatoes, bread, and milk. While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed continuing to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility would like to pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. We discussed the facility would need to look into a curriculum for all ages, and the administrator would need to be looking into coaching/training options. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(a) 613 Crib sheets were not changed as needed or at least daily. Space #4, a child was observed stepping on a cot and then falling onto the cot. 15A NCAC 18A .2821(f) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. .1103(a) Technical assistance was provided as follows: Item 608- Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after children put their coats away, the children go to the sink to wash hands and then engage in free play. After free play is over and prior to lunch being served, children would clean up, wash hands, and then go to the table for lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Item 609- Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after assisting children with putting their coats away, staff would go to the sink to wash hands and continue assisting children as needed. Reminder gloves do not take the place for hand washing. When free play is over, staff would need to wash hands prior to serving lunch or assisting children with lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. Item 613- Space #4, a child was observed stepping on a cot and then falling onto the cot. When the situation was brought to the administrators attention, the cot sheet was replaced during the visit. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Rule Reference: 15A NCAC 18A.2821(f) Item 807- While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed to continue to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. Rule Reference: 10A NCAC 09 .0601(a) Item 1052- One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. The administrator stated that the staff member had left for one (1) month and returned 5/30/2025. The staff members’ employment was never terminated in the facilities books. It was as the employee was on leave. We discussed the staff members’ training hours were due by 8/9/2025, if the employment was not officially terminated. Rule Reference: 10A NCAC 09.1103(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/19/2025. 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 conducting a staff meeting to review with staff when staff and children should wash hands. -I recommended reaching out to Chrissy Wolfe, Child Care Health Consultant, at chrissy.wolfe@mahec.net or 828-424-0562 to request training on handwashing for children and staff. -We discussed reviewing the weather watch chart to review how to determine when to reduce your time outdoors due to the wind chill. Remind staff that children of all ages are to go outside daily. The daily schedules have the time broken up into two (2) timeframes morning and afternoon. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/5/2025 Number Present: 47 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 09:55 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Kim Morrow, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Morrow, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, 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-one percent (91%) as of 10/30/2025. Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 12/5/2024. The last fire drill was practiced on 10/20/2025. The last lockdown drill was practiced on 9/29/2025. The last playground inspection was documented on 10/27/2025. The last fire inspection was approved on 11/7/2024. I recommend contacting the Fire Marshall to verify you are on their schedule for an annual inspection to be conducted in the near future. The last sanitation inspection was conducted on 10/6/2025 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/6/2024 without hazards. Lead paint and asbestos testing was completed on 3/20/2024. The program does not provide transportation. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, large cube toy, and activity seats. All children were exploring the room. The staff members were meeting the individual needs of the children. After exploring the room, the staff member assisted the children with washing hands and preparing for lunch. Space #2, the group of one-to-two-year-olds were engaged in free play with riding toys, trucks, balls, baby dolls, waffle blocks. The staff member was moving about the room and engaging play with the children. After free play, the group washed hands and prepared for lunch. During nap time, the staff member was sitting in the middle of the room close to the children. The room used natural lighting and calming music to assist the children with resting. Space #3, the group of two- to three-year-old children were engaged in outdoor gross motor play. Upon arrival into the classroom at 10:20a, the group entered the classroom sat down in the middle of the room. Staff members assisted the children with taking off their coats and putting them away. Then the children returned to sit down. At 10:26a, the staff member began handing out buckets of toys for the children to engage in play with. The staff and children were not observed washing hands upon arrival into the classroom. During the observation, the administrator and I discussed that the staff members and children must wash their hands upon arrival into the classroom from outdoor gross motor play. Space #4, the group of three- to four-year-old children were engaged in free play with legos, magnetic tiles, books, and links. The staff members were stationed in a central location to actively supervise all the children. After free play, the group transitioned outdoor for gross motor play. While monitoring the classroom, I observed a child stepping on a cot and falling on it. The cot sheet was not replaced until it was brought to their attention. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Space #5, the group of four- to five-year-old children were engaged in free play with legos, links, lacing, and blocks. The staff member was moving about the room supervising and cleaning as needed. After free play, the class transitioned outdoors for gross motor play. Lunch consisted of fish sticks, bake beans, potatoes, bread, and milk. While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed continuing to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility would like to pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. We discussed the facility would need to look into a curriculum for all ages, and the administrator would need to be looking into coaching/training options. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(a) 613 Crib sheets were not changed as needed or at least daily. Space #4, a child was observed stepping on a cot and then falling onto the cot. 15A NCAC 18A .2821(f) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. .1103(a) Technical assistance was provided as follows: Item 608- Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after children put their coats away, the children go to the sink to wash hands and then engage in free play. After free play is over and prior to lunch being served, children would clean up, wash hands, and then go to the table for lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Item 609- Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after assisting children with putting their coats away, staff would go to the sink to wash hands and continue assisting children as needed. Reminder gloves do not take the place for hand washing. When free play is over, staff would need to wash hands prior to serving lunch or assisting children with lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. Item 613- Space #4, a child was observed stepping on a cot and then falling onto the cot. When the situation was brought to the administrators attention, the cot sheet was replaced during the visit. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Rule Reference: 15A NCAC 18A.2821(f) Item 807- While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed to continue to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. Rule Reference: 10A NCAC 09 .0601(a) Item 1052- One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. The administrator stated that the staff member had left for one (1) month and returned 5/30/2025. The staff members’ employment was never terminated in the facilities books. It was as the employee was on leave. We discussed the staff members’ training hours were due by 8/9/2025, if the employment was not officially terminated. Rule Reference: 10A NCAC 09.1103(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/19/2025. 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 conducting a staff meeting to review with staff when staff and children should wash hands. -I recommended reaching out to Chrissy Wolfe, Child Care Health Consultant, at chrissy.wolfe@mahec.net or 828-424-0562 to request training on handwashing for children and staff. -We discussed reviewing the weather watch chart to review how to determine when to reduce your time outdoors due to the wind chill. Remind staff that children of all ages are to go outside daily. The daily schedules have the time broken up into two (2) timeframes morning and afternoon. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/5/2025 Number Present: 47 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 09:55 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Kim Morrow, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Morrow, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, 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-one percent (91%) as of 10/30/2025. Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 12/5/2024. The last fire drill was practiced on 10/20/2025. The last lockdown drill was practiced on 9/29/2025. The last playground inspection was documented on 10/27/2025. The last fire inspection was approved on 11/7/2024. I recommend contacting the Fire Marshall to verify you are on their schedule for an annual inspection to be conducted in the near future. The last sanitation inspection was conducted on 10/6/2025 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/6/2024 without hazards. Lead paint and asbestos testing was completed on 3/20/2024. The program does not provide transportation. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, large cube toy, and activity seats. All children were exploring the room. The staff members were meeting the individual needs of the children. After exploring the room, the staff member assisted the children with washing hands and preparing for lunch. Space #2, the group of one-to-two-year-olds were engaged in free play with riding toys, trucks, balls, baby dolls, waffle blocks. The staff member was moving about the room and engaging play with the children. After free play, the group washed hands and prepared for lunch. During nap time, the staff member was sitting in the middle of the room close to the children. The room used natural lighting and calming music to assist the children with resting. Space #3, the group of two- to three-year-old children were engaged in outdoor gross motor play. Upon arrival into the classroom at 10:20a, the group entered the classroom sat down in the middle of the room. Staff members assisted the children with taking off their coats and putting them away. Then the children returned to sit down. At 10:26a, the staff member began handing out buckets of toys for the children to engage in play with. The staff and children were not observed washing hands upon arrival into the classroom. During the observation, the administrator and I discussed that the staff members and children must wash their hands upon arrival into the classroom from outdoor gross motor play. Space #4, the group of three- to four-year-old children were engaged in free play with legos, magnetic tiles, books, and links. The staff members were stationed in a central location to actively supervise all the children. After free play, the group transitioned outdoor for gross motor play. While monitoring the classroom, I observed a child stepping on a cot and falling on it. The cot sheet was not replaced until it was brought to their attention. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Space #5, the group of four- to five-year-old children were engaged in free play with legos, links, lacing, and blocks. The staff member was moving about the room supervising and cleaning as needed. After free play, the class transitioned outdoors for gross motor play. Lunch consisted of fish sticks, bake beans, potatoes, bread, and milk. While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed continuing to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility would like to pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. We discussed the facility would need to look into a curriculum for all ages, and the administrator would need to be looking into coaching/training options. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(a) 613 Crib sheets were not changed as needed or at least daily. Space #4, a child was observed stepping on a cot and then falling onto the cot. 15A NCAC 18A .2821(f) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. .1103(a) Technical assistance was provided as follows: Item 608- Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after children put their coats away, the children go to the sink to wash hands and then engage in free play. After free play is over and prior to lunch being served, children would clean up, wash hands, and then go to the table for lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Item 609- Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after assisting children with putting their coats away, staff would go to the sink to wash hands and continue assisting children as needed. Reminder gloves do not take the place for hand washing. When free play is over, staff would need to wash hands prior to serving lunch or assisting children with lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. Item 613- Space #4, a child was observed stepping on a cot and then falling onto the cot. When the situation was brought to the administrators attention, the cot sheet was replaced during the visit. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Rule Reference: 15A NCAC 18A.2821(f) Item 807- While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed to continue to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. Rule Reference: 10A NCAC 09 .0601(a) Item 1052- One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. The administrator stated that the staff member had left for one (1) month and returned 5/30/2025. The staff members’ employment was never terminated in the facilities books. It was as the employee was on leave. We discussed the staff members’ training hours were due by 8/9/2025, if the employment was not officially terminated. Rule Reference: 10A NCAC 09.1103(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/19/2025. 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 conducting a staff meeting to review with staff when staff and children should wash hands. -I recommended reaching out to Chrissy Wolfe, Child Care Health Consultant, at chrissy.wolfe@mahec.net or 828-424-0562 to request training on handwashing for children and staff. -We discussed reviewing the weather watch chart to review how to determine when to reduce your time outdoors due to the wind chill. Remind staff that children of all ages are to go outside daily. The daily schedules have the time broken up into two (2) timeframes morning and afternoon. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 09.1103 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/5/2025 Number Present: 47 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 09:55 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Kim Morrow, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Morrow, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, 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-one percent (91%) as of 10/30/2025. Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 12/5/2024. The last fire drill was practiced on 10/20/2025. The last lockdown drill was practiced on 9/29/2025. The last playground inspection was documented on 10/27/2025. The last fire inspection was approved on 11/7/2024. I recommend contacting the Fire Marshall to verify you are on their schedule for an annual inspection to be conducted in the near future. The last sanitation inspection was conducted on 10/6/2025 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/6/2024 without hazards. Lead paint and asbestos testing was completed on 3/20/2024. The program does not provide transportation. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, large cube toy, and activity seats. All children were exploring the room. The staff members were meeting the individual needs of the children. After exploring the room, the staff member assisted the children with washing hands and preparing for lunch. Space #2, the group of one-to-two-year-olds were engaged in free play with riding toys, trucks, balls, baby dolls, waffle blocks. The staff member was moving about the room and engaging play with the children. After free play, the group washed hands and prepared for lunch. During nap time, the staff member was sitting in the middle of the room close to the children. The room used natural lighting and calming music to assist the children with resting. Space #3, the group of two- to three-year-old children were engaged in outdoor gross motor play. Upon arrival into the classroom at 10:20a, the group entered the classroom sat down in the middle of the room. Staff members assisted the children with taking off their coats and putting them away. Then the children returned to sit down. At 10:26a, the staff member began handing out buckets of toys for the children to engage in play with. The staff and children were not observed washing hands upon arrival into the classroom. During the observation, the administrator and I discussed that the staff members and children must wash their hands upon arrival into the classroom from outdoor gross motor play. Space #4, the group of three- to four-year-old children were engaged in free play with legos, magnetic tiles, books, and links. The staff members were stationed in a central location to actively supervise all the children. After free play, the group transitioned outdoor for gross motor play. While monitoring the classroom, I observed a child stepping on a cot and falling on it. The cot sheet was not replaced until it was brought to their attention. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Space #5, the group of four- to five-year-old children were engaged in free play with legos, links, lacing, and blocks. The staff member was moving about the room supervising and cleaning as needed. After free play, the class transitioned outdoors for gross motor play. Lunch consisted of fish sticks, bake beans, potatoes, bread, and milk. While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed continuing to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility would like to pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. We discussed the facility would need to look into a curriculum for all ages, and the administrator would need to be looking into coaching/training options. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(a) 613 Crib sheets were not changed as needed or at least daily. Space #4, a child was observed stepping on a cot and then falling onto the cot. 15A NCAC 18A .2821(f) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. .1103(a) Technical assistance was provided as follows: Item 608- Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after children put their coats away, the children go to the sink to wash hands and then engage in free play. After free play is over and prior to lunch being served, children would clean up, wash hands, and then go to the table for lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Item 609- Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after assisting children with putting their coats away, staff would go to the sink to wash hands and continue assisting children as needed. Reminder gloves do not take the place for hand washing. When free play is over, staff would need to wash hands prior to serving lunch or assisting children with lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. Item 613- Space #4, a child was observed stepping on a cot and then falling onto the cot. When the situation was brought to the administrators attention, the cot sheet was replaced during the visit. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Rule Reference: 15A NCAC 18A.2821(f) Item 807- While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed to continue to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. Rule Reference: 10A NCAC 09 .0601(a) Item 1052- One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. The administrator stated that the staff member had left for one (1) month and returned 5/30/2025. The staff members’ employment was never terminated in the facilities books. It was as the employee was on leave. We discussed the staff members’ training hours were due by 8/9/2025, if the employment was not officially terminated. Rule Reference: 10A NCAC 09.1103(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/19/2025. 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 conducting a staff meeting to review with staff when staff and children should wash hands. -I recommended reaching out to Chrissy Wolfe, Child Care Health Consultant, at chrissy.wolfe@mahec.net or 828-424-0562 to request training on handwashing for children and staff. -We discussed reviewing the weather watch chart to review how to determine when to reduce your time outdoors due to the wind chill. Remind staff that children of all ages are to go outside daily. The daily schedules have the time broken up into two (2) timeframes morning and afternoon. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 11/5/2025 Number Present: 47 Completed Date: 11/5/2025 Age: From 0 To 5 Total Minutes: 265 Time In: 09:55 AM Time Out: 02:20 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Kim Morrow, Administrator, during the visit. A signed copy of the visit summary was left on-site with you. Kim Morrow, Administrator, accompanied me today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nap, 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-one percent (91%) as of 10/30/2025. Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift, meets enhanced space. The last annual compliance visit was conducted on 12/5/2024. The last fire drill was practiced on 10/20/2025. The last lockdown drill was practiced on 9/29/2025. The last playground inspection was documented on 10/27/2025. The last fire inspection was approved on 11/7/2024. I recommend contacting the Fire Marshall to verify you are on their schedule for an annual inspection to be conducted in the near future. The last sanitation inspection was conducted on 10/6/2025 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/6/2024 without hazards. Lead paint and asbestos testing was completed on 3/20/2024. The program does not provide transportation. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, large cube toy, and activity seats. All children were exploring the room. The staff members were meeting the individual needs of the children. After exploring the room, the staff member assisted the children with washing hands and preparing for lunch. Space #2, the group of one-to-two-year-olds were engaged in free play with riding toys, trucks, balls, baby dolls, waffle blocks. The staff member was moving about the room and engaging play with the children. After free play, the group washed hands and prepared for lunch. During nap time, the staff member was sitting in the middle of the room close to the children. The room used natural lighting and calming music to assist the children with resting. Space #3, the group of two- to three-year-old children were engaged in outdoor gross motor play. Upon arrival into the classroom at 10:20a, the group entered the classroom sat down in the middle of the room. Staff members assisted the children with taking off their coats and putting them away. Then the children returned to sit down. At 10:26a, the staff member began handing out buckets of toys for the children to engage in play with. The staff and children were not observed washing hands upon arrival into the classroom. During the observation, the administrator and I discussed that the staff members and children must wash their hands upon arrival into the classroom from outdoor gross motor play. Space #4, the group of three- to four-year-old children were engaged in free play with legos, magnetic tiles, books, and links. The staff members were stationed in a central location to actively supervise all the children. After free play, the group transitioned outdoor for gross motor play. While monitoring the classroom, I observed a child stepping on a cot and falling on it. The cot sheet was not replaced until it was brought to their attention. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Space #5, the group of four- to five-year-old children were engaged in free play with legos, links, lacing, and blocks. The staff member was moving about the room supervising and cleaning as needed. After free play, the class transitioned outdoors for gross motor play. Lunch consisted of fish sticks, bake beans, potatoes, bread, and milk. While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed continuing to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. QRIS modernization discussion: During today’s visit an overview of section .3200 of the child care rules was provided. Each of the following pathway options were discussed: Program Assessment Pathway, Classroom and Instructional Quality Pathway, and Accreditation and Head Start Pathway. Education requirements were also reviewed. Based on today’s conversation the facility would like to pursue Classroom and Instructional Quality Pathway. We reviewed Classroom and Instructional Quality Pathway. We discussed the facility would need to look into a curriculum for all ages, and the administrator would need to be looking into coaching/training options. The facility plans to apply for a rated license during the next six (6) month visit. All facility licenses are to be reassessed by December 31, 2026. 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 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. 15A NCAC 18A .2803(a) 613 Crib sheets were not changed as needed or at least daily. Space #4, a child was observed stepping on a cot and then falling onto the cot. 15A NCAC 18A .2821(f) 807 A safe indoor and outdoor environment was not provided for the children. Outdoors, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. 10A NCAC 09 .0601(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. .1103(a) Technical assistance was provided as follows: Item 608- Space #3, all fifteen (15) children did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after children put their coats away, the children go to the sink to wash hands and then engage in free play. After free play is over and prior to lunch being served, children would clean up, wash hands, and then go to the table for lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (b) Children shall wash hands upon arrival at the child care center; after each diaper change or visit to the toilet; before eating meals or snacks; before and after water play; after outdoor activity; and after handling animals or animal cages. Except for diapering and before eating meals or snacks, hand sanitizing products may be used in lieu of handwashing while children are outdoors if hands are washed upon returning indoors. Item 609- Space #3, two (2) adults did not wash hands upon arrival into the classroom from outdoor play. We discussed all staff and children must wash hands upon arrival into the classroom from outdoor gross motor play. Upon entering the classroom, after assisting children with putting their coats away, staff would go to the sink to wash hands and continue assisting children as needed. Reminder gloves do not take the place for hand washing. When free play is over, staff would need to wash hands prior to serving lunch or assisting children with lunch. Rule Reference: 15A NCAC 18A .2803 HANDWASHING (a) Child Care operators shall instruct employees that handwashing is the single most important line of defense in preventing the transmission of disease-causing organisms. Employees shall wash hands upon reporting for work; before and after handling food; before bottle feeding or serving to other children; before handling clean utensils or equipment; after toileting or handling of body fluids (e.g., saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, pustulant discharge); after diaper changing; after handling soiled items such as garbage, mops, cloths and clothing; after being outdoors; after handling animals or animal cages; and after removing disposable gloves. The use of hand sanitizing products does not replace the requirement for handwashing. However, except for diapering, food preparation, and food service, hand sanitizing products may be used in lieu of handwashing while an employee is supervising children outdoors if hands are washed upon returning indoors. Item 613- Space #4, a child was observed stepping on a cot and then falling onto the cot. When the situation was brought to the administrators attention, the cot sheet was replaced during the visit. We discussed not putting out the cots near the tables until all the children have finished eating to avoid a child falling on a cot or food being dropped on a cot. Rule Reference: 15A NCAC 18A.2821(f) Item 807- While monitoring outside, I observe the anchors for the green metal jeep was exposed causing a tripping hazard. One (1) red plastic storage container was observed broken with sharp edges. The administrator removed the red storage container from the playground during the visit. We discussed to continue to conduct daily playground checks to ensure there are no hazards present, this includes looking at the storage containers and equipment anchors. Rule Reference: 10A NCAC 09 .0601(a) Item 1052- One (1) staff member hired 8/9/2023 did not receive the required ten (10) hours of on-going training by 8/9/2025. The administrator stated that the staff member had left for one (1) month and returned 5/30/2025. The staff members’ employment was never terminated in the facilities books. It was as the employee was on leave. We discussed the staff members’ training hours were due by 8/9/2025, if the employment was not officially terminated. Rule Reference: 10A NCAC 09.1103(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 11/19/2025. 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 conducting a staff meeting to review with staff when staff and children should wash hands. -I recommended reaching out to Chrissy Wolfe, Child Care Health Consultant, at chrissy.wolfe@mahec.net or 828-424-0562 to request training on handwashing for children and staff. -We discussed reviewing the weather watch chart to review how to determine when to reduce your time outdoors due to the wind chill. Remind staff that children of all ages are to go outside daily. The daily schedules have the time broken up into two (2) timeframes morning and afternoon. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 52 Completed Date: 6/5/2025 Age: From 0 To 8 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Kimberly Morrow, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/5/2024. 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 Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift and meets enhanced space. The last fire drill was practiced on 5/30/2025. The last emergency drill, lockdown drill, was practiced on 3/3/2025. The last fire inspection was approved on 11/7/2024. The last playground inspection was completed on 5/29/2025. The program’s most recent sanitation inspection was completed on 1/9/2025, with six (6) demerits. The Emergency Medical Care Plan is posted and current Upon arrival, I was greeted by Ms. Morrow. A walkthrough of the indoor and outdoor environment was conducted. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, and activity seats. One (1) child was exploring the environment, three (3) engaged in free play with pretend toy foods, one (1) in activity seat. The staff member was sitting in the floor with three (3) children singing and playing with the children while actively supervising the children. We reviewed and discussed the safe sleep policy regarding items not allowed in the crib, and safe sleep checks every fifteen (15) minutes for twelve (12) months and younger. After free play, the children transitioned to the high chairs for lunch and then transitioned to cots or crib for nap time. During nap time, one (1) staff member was present, one (1) overhead light was on to allow for enough lighting to see the children, and soft nap time music was playing. Three (3) one year old children were on cots asleep and two (2) were in their cribs crying. The staff member was completing sleep checks, the administrator assisted with the children crying and asked another staff member to come assist. While monitoring, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Space #2, the group of one-to-two- year olds were engaged in group art at the tables drawing flowers and trees. After art, the children transitioned to free play with push toys, baby dolls, and blocks. We discussed that more materials would need to be accessible to the children to freely engage in play with. The bookshelf was empty, and the books were located on top of the cabinet. The staff stated that the closer to lunch she starts to put materials up. I stated that the children should have access to the books to freely look at throughout the day. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap, the children were spaced apart, with one (1) overhead light on in addition to the natural lighting and soft music play. The staff were sitting close to the children and actively supervising while they rest. While monitoring, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. While monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Space #3, the group of two to three year old children were engaged group painting at the table. After group art, the children prepared for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, there was two (2) staff members present sitting close to the children, the overhead kitchen light, bathroom light, and natural lighting was used to assist with supervising the children. Space #4, the group of three to four year old children were engaged in free play with legos, magnetic tiles, books, and links. The staff was moving about the indoor area actively supervising the children. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap time, one (1) staff member was present, the bathroom light was on to provide lighting to supervise the children, and soft nap music was playing. Space #5, the group of four- to eight-year-old children were engaged in free play with legos, links, lacing, and blocks. One (1) staff member was sitting in the floor with the children working on learning to lace and tie shoes and one (1) staff member was getting the art materials ready for an art project. After free play and art the children prepared for lunch. When lunch concluded, the children prepared for nap time. During nap time, one (1) staff member was present, natural lighting was used to light the room, soft nap music was playing. We discussed on a cloudy day the staff would want to turn on one (1) overhead light or use a battery powered camping lattern to help with supervising the children. Lunch today consisted of pizza rolls, mandarin oranges, corn, bread, and milk. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. .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 personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. .0701(a) Technical assistance was provided as follows: Item 533 In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Rule Reference: 15A NCAC 18A.2804(d) Item 721 Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. We discussed while completing the playground check to note any equipment that is showing signs of rust or chipping paint. Then to touch up the paint and treat the area to prevent any rust exposure. Rule Reference: 10A NCAC 09 .0601(b) Item 807 Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. We discussed that the pallet would need to remove to prevent a child from being cut on the sharp edge. Rule Reference: 10A NCAC 09 .0601(a) Item 849 Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Rule Reference: 10A NCAC 09 .0803(12) Item 858 Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. Rule Reference: 10A NCAC 09 .0604(q) Item 1034 Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Item 1035 Staff personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/2025. 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 that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. 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 .0304 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 52 Completed Date: 6/5/2025 Age: From 0 To 8 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Kimberly Morrow, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/5/2024. 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 Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift and meets enhanced space. The last fire drill was practiced on 5/30/2025. The last emergency drill, lockdown drill, was practiced on 3/3/2025. The last fire inspection was approved on 11/7/2024. The last playground inspection was completed on 5/29/2025. The program’s most recent sanitation inspection was completed on 1/9/2025, with six (6) demerits. The Emergency Medical Care Plan is posted and current Upon arrival, I was greeted by Ms. Morrow. A walkthrough of the indoor and outdoor environment was conducted. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, and activity seats. One (1) child was exploring the environment, three (3) engaged in free play with pretend toy foods, one (1) in activity seat. The staff member was sitting in the floor with three (3) children singing and playing with the children while actively supervising the children. We reviewed and discussed the safe sleep policy regarding items not allowed in the crib, and safe sleep checks every fifteen (15) minutes for twelve (12) months and younger. After free play, the children transitioned to the high chairs for lunch and then transitioned to cots or crib for nap time. During nap time, one (1) staff member was present, one (1) overhead light was on to allow for enough lighting to see the children, and soft nap time music was playing. Three (3) one year old children were on cots asleep and two (2) were in their cribs crying. The staff member was completing sleep checks, the administrator assisted with the children crying and asked another staff member to come assist. While monitoring, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Space #2, the group of one-to-two- year olds were engaged in group art at the tables drawing flowers and trees. After art, the children transitioned to free play with push toys, baby dolls, and blocks. We discussed that more materials would need to be accessible to the children to freely engage in play with. The bookshelf was empty, and the books were located on top of the cabinet. The staff stated that the closer to lunch she starts to put materials up. I stated that the children should have access to the books to freely look at throughout the day. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap, the children were spaced apart, with one (1) overhead light on in addition to the natural lighting and soft music play. The staff were sitting close to the children and actively supervising while they rest. While monitoring, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. While monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Space #3, the group of two to three year old children were engaged group painting at the table. After group art, the children prepared for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, there was two (2) staff members present sitting close to the children, the overhead kitchen light, bathroom light, and natural lighting was used to assist with supervising the children. Space #4, the group of three to four year old children were engaged in free play with legos, magnetic tiles, books, and links. The staff was moving about the indoor area actively supervising the children. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap time, one (1) staff member was present, the bathroom light was on to provide lighting to supervise the children, and soft nap music was playing. Space #5, the group of four- to eight-year-old children were engaged in free play with legos, links, lacing, and blocks. One (1) staff member was sitting in the floor with the children working on learning to lace and tie shoes and one (1) staff member was getting the art materials ready for an art project. After free play and art the children prepared for lunch. When lunch concluded, the children prepared for nap time. During nap time, one (1) staff member was present, natural lighting was used to light the room, soft nap music was playing. We discussed on a cloudy day the staff would want to turn on one (1) overhead light or use a battery powered camping lattern to help with supervising the children. Lunch today consisted of pizza rolls, mandarin oranges, corn, bread, and milk. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. .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 personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. .0701(a) Technical assistance was provided as follows: Item 533 In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Rule Reference: 15A NCAC 18A.2804(d) Item 721 Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. We discussed while completing the playground check to note any equipment that is showing signs of rust or chipping paint. Then to touch up the paint and treat the area to prevent any rust exposure. Rule Reference: 10A NCAC 09 .0601(b) Item 807 Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. We discussed that the pallet would need to remove to prevent a child from being cut on the sharp edge. Rule Reference: 10A NCAC 09 .0601(a) Item 849 Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Rule Reference: 10A NCAC 09 .0803(12) Item 858 Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. Rule Reference: 10A NCAC 09 .0604(q) Item 1034 Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Item 1035 Staff personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/2025. 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 that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. 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 .0601 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 52 Completed Date: 6/5/2025 Age: From 0 To 8 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Kimberly Morrow, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/5/2024. 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 Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift and meets enhanced space. The last fire drill was practiced on 5/30/2025. The last emergency drill, lockdown drill, was practiced on 3/3/2025. The last fire inspection was approved on 11/7/2024. The last playground inspection was completed on 5/29/2025. The program’s most recent sanitation inspection was completed on 1/9/2025, with six (6) demerits. The Emergency Medical Care Plan is posted and current Upon arrival, I was greeted by Ms. Morrow. A walkthrough of the indoor and outdoor environment was conducted. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, and activity seats. One (1) child was exploring the environment, three (3) engaged in free play with pretend toy foods, one (1) in activity seat. The staff member was sitting in the floor with three (3) children singing and playing with the children while actively supervising the children. We reviewed and discussed the safe sleep policy regarding items not allowed in the crib, and safe sleep checks every fifteen (15) minutes for twelve (12) months and younger. After free play, the children transitioned to the high chairs for lunch and then transitioned to cots or crib for nap time. During nap time, one (1) staff member was present, one (1) overhead light was on to allow for enough lighting to see the children, and soft nap time music was playing. Three (3) one year old children were on cots asleep and two (2) were in their cribs crying. The staff member was completing sleep checks, the administrator assisted with the children crying and asked another staff member to come assist. While monitoring, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Space #2, the group of one-to-two- year olds were engaged in group art at the tables drawing flowers and trees. After art, the children transitioned to free play with push toys, baby dolls, and blocks. We discussed that more materials would need to be accessible to the children to freely engage in play with. The bookshelf was empty, and the books were located on top of the cabinet. The staff stated that the closer to lunch she starts to put materials up. I stated that the children should have access to the books to freely look at throughout the day. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap, the children were spaced apart, with one (1) overhead light on in addition to the natural lighting and soft music play. The staff were sitting close to the children and actively supervising while they rest. While monitoring, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. While monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Space #3, the group of two to three year old children were engaged group painting at the table. After group art, the children prepared for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, there was two (2) staff members present sitting close to the children, the overhead kitchen light, bathroom light, and natural lighting was used to assist with supervising the children. Space #4, the group of three to four year old children were engaged in free play with legos, magnetic tiles, books, and links. The staff was moving about the indoor area actively supervising the children. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap time, one (1) staff member was present, the bathroom light was on to provide lighting to supervise the children, and soft nap music was playing. Space #5, the group of four- to eight-year-old children were engaged in free play with legos, links, lacing, and blocks. One (1) staff member was sitting in the floor with the children working on learning to lace and tie shoes and one (1) staff member was getting the art materials ready for an art project. After free play and art the children prepared for lunch. When lunch concluded, the children prepared for nap time. During nap time, one (1) staff member was present, natural lighting was used to light the room, soft nap music was playing. We discussed on a cloudy day the staff would want to turn on one (1) overhead light or use a battery powered camping lattern to help with supervising the children. Lunch today consisted of pizza rolls, mandarin oranges, corn, bread, and milk. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. .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 personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. .0701(a) Technical assistance was provided as follows: Item 533 In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Rule Reference: 15A NCAC 18A.2804(d) Item 721 Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. We discussed while completing the playground check to note any equipment that is showing signs of rust or chipping paint. Then to touch up the paint and treat the area to prevent any rust exposure. Rule Reference: 10A NCAC 09 .0601(b) Item 807 Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. We discussed that the pallet would need to remove to prevent a child from being cut on the sharp edge. Rule Reference: 10A NCAC 09 .0601(a) Item 849 Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Rule Reference: 10A NCAC 09 .0803(12) Item 858 Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. Rule Reference: 10A NCAC 09 .0604(q) Item 1034 Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Item 1035 Staff personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/2025. 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 that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 52 Completed Date: 6/5/2025 Age: From 0 To 8 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Kimberly Morrow, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/5/2024. 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 Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift and meets enhanced space. The last fire drill was practiced on 5/30/2025. The last emergency drill, lockdown drill, was practiced on 3/3/2025. The last fire inspection was approved on 11/7/2024. The last playground inspection was completed on 5/29/2025. The program’s most recent sanitation inspection was completed on 1/9/2025, with six (6) demerits. The Emergency Medical Care Plan is posted and current Upon arrival, I was greeted by Ms. Morrow. A walkthrough of the indoor and outdoor environment was conducted. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, and activity seats. One (1) child was exploring the environment, three (3) engaged in free play with pretend toy foods, one (1) in activity seat. The staff member was sitting in the floor with three (3) children singing and playing with the children while actively supervising the children. We reviewed and discussed the safe sleep policy regarding items not allowed in the crib, and safe sleep checks every fifteen (15) minutes for twelve (12) months and younger. After free play, the children transitioned to the high chairs for lunch and then transitioned to cots or crib for nap time. During nap time, one (1) staff member was present, one (1) overhead light was on to allow for enough lighting to see the children, and soft nap time music was playing. Three (3) one year old children were on cots asleep and two (2) were in their cribs crying. The staff member was completing sleep checks, the administrator assisted with the children crying and asked another staff member to come assist. While monitoring, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Space #2, the group of one-to-two- year olds were engaged in group art at the tables drawing flowers and trees. After art, the children transitioned to free play with push toys, baby dolls, and blocks. We discussed that more materials would need to be accessible to the children to freely engage in play with. The bookshelf was empty, and the books were located on top of the cabinet. The staff stated that the closer to lunch she starts to put materials up. I stated that the children should have access to the books to freely look at throughout the day. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap, the children were spaced apart, with one (1) overhead light on in addition to the natural lighting and soft music play. The staff were sitting close to the children and actively supervising while they rest. While monitoring, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. While monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Space #3, the group of two to three year old children were engaged group painting at the table. After group art, the children prepared for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, there was two (2) staff members present sitting close to the children, the overhead kitchen light, bathroom light, and natural lighting was used to assist with supervising the children. Space #4, the group of three to four year old children were engaged in free play with legos, magnetic tiles, books, and links. The staff was moving about the indoor area actively supervising the children. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap time, one (1) staff member was present, the bathroom light was on to provide lighting to supervise the children, and soft nap music was playing. Space #5, the group of four- to eight-year-old children were engaged in free play with legos, links, lacing, and blocks. One (1) staff member was sitting in the floor with the children working on learning to lace and tie shoes and one (1) staff member was getting the art materials ready for an art project. After free play and art the children prepared for lunch. When lunch concluded, the children prepared for nap time. During nap time, one (1) staff member was present, natural lighting was used to light the room, soft nap music was playing. We discussed on a cloudy day the staff would want to turn on one (1) overhead light or use a battery powered camping lattern to help with supervising the children. Lunch today consisted of pizza rolls, mandarin oranges, corn, bread, and milk. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. .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 personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. .0701(a) Technical assistance was provided as follows: Item 533 In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Rule Reference: 15A NCAC 18A.2804(d) Item 721 Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. We discussed while completing the playground check to note any equipment that is showing signs of rust or chipping paint. Then to touch up the paint and treat the area to prevent any rust exposure. Rule Reference: 10A NCAC 09 .0601(b) Item 807 Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. We discussed that the pallet would need to remove to prevent a child from being cut on the sharp edge. Rule Reference: 10A NCAC 09 .0601(a) Item 849 Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Rule Reference: 10A NCAC 09 .0803(12) Item 858 Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. Rule Reference: 10A NCAC 09 .0604(q) Item 1034 Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Item 1035 Staff personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/2025. 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 that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. 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 .0803 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 52 Completed Date: 6/5/2025 Age: From 0 To 8 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Kimberly Morrow, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/5/2024. 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 Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift and meets enhanced space. The last fire drill was practiced on 5/30/2025. The last emergency drill, lockdown drill, was practiced on 3/3/2025. The last fire inspection was approved on 11/7/2024. The last playground inspection was completed on 5/29/2025. The program’s most recent sanitation inspection was completed on 1/9/2025, with six (6) demerits. The Emergency Medical Care Plan is posted and current Upon arrival, I was greeted by Ms. Morrow. A walkthrough of the indoor and outdoor environment was conducted. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, and activity seats. One (1) child was exploring the environment, three (3) engaged in free play with pretend toy foods, one (1) in activity seat. The staff member was sitting in the floor with three (3) children singing and playing with the children while actively supervising the children. We reviewed and discussed the safe sleep policy regarding items not allowed in the crib, and safe sleep checks every fifteen (15) minutes for twelve (12) months and younger. After free play, the children transitioned to the high chairs for lunch and then transitioned to cots or crib for nap time. During nap time, one (1) staff member was present, one (1) overhead light was on to allow for enough lighting to see the children, and soft nap time music was playing. Three (3) one year old children were on cots asleep and two (2) were in their cribs crying. The staff member was completing sleep checks, the administrator assisted with the children crying and asked another staff member to come assist. While monitoring, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Space #2, the group of one-to-two- year olds were engaged in group art at the tables drawing flowers and trees. After art, the children transitioned to free play with push toys, baby dolls, and blocks. We discussed that more materials would need to be accessible to the children to freely engage in play with. The bookshelf was empty, and the books were located on top of the cabinet. The staff stated that the closer to lunch she starts to put materials up. I stated that the children should have access to the books to freely look at throughout the day. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap, the children were spaced apart, with one (1) overhead light on in addition to the natural lighting and soft music play. The staff were sitting close to the children and actively supervising while they rest. While monitoring, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. While monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Space #3, the group of two to three year old children were engaged group painting at the table. After group art, the children prepared for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, there was two (2) staff members present sitting close to the children, the overhead kitchen light, bathroom light, and natural lighting was used to assist with supervising the children. Space #4, the group of three to four year old children were engaged in free play with legos, magnetic tiles, books, and links. The staff was moving about the indoor area actively supervising the children. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap time, one (1) staff member was present, the bathroom light was on to provide lighting to supervise the children, and soft nap music was playing. Space #5, the group of four- to eight-year-old children were engaged in free play with legos, links, lacing, and blocks. One (1) staff member was sitting in the floor with the children working on learning to lace and tie shoes and one (1) staff member was getting the art materials ready for an art project. After free play and art the children prepared for lunch. When lunch concluded, the children prepared for nap time. During nap time, one (1) staff member was present, natural lighting was used to light the room, soft nap music was playing. We discussed on a cloudy day the staff would want to turn on one (1) overhead light or use a battery powered camping lattern to help with supervising the children. Lunch today consisted of pizza rolls, mandarin oranges, corn, bread, and milk. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. .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 personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. .0701(a) Technical assistance was provided as follows: Item 533 In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Rule Reference: 15A NCAC 18A.2804(d) Item 721 Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. We discussed while completing the playground check to note any equipment that is showing signs of rust or chipping paint. Then to touch up the paint and treat the area to prevent any rust exposure. Rule Reference: 10A NCAC 09 .0601(b) Item 807 Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. We discussed that the pallet would need to remove to prevent a child from being cut on the sharp edge. Rule Reference: 10A NCAC 09 .0601(a) Item 849 Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Rule Reference: 10A NCAC 09 .0803(12) Item 858 Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. Rule Reference: 10A NCAC 09 .0604(q) Item 1034 Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Item 1035 Staff personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/2025. 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 that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 52 Completed Date: 6/5/2025 Age: From 0 To 8 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Kimberly Morrow, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/5/2024. 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 Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift and meets enhanced space. The last fire drill was practiced on 5/30/2025. The last emergency drill, lockdown drill, was practiced on 3/3/2025. The last fire inspection was approved on 11/7/2024. The last playground inspection was completed on 5/29/2025. The program’s most recent sanitation inspection was completed on 1/9/2025, with six (6) demerits. The Emergency Medical Care Plan is posted and current Upon arrival, I was greeted by Ms. Morrow. A walkthrough of the indoor and outdoor environment was conducted. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, and activity seats. One (1) child was exploring the environment, three (3) engaged in free play with pretend toy foods, one (1) in activity seat. The staff member was sitting in the floor with three (3) children singing and playing with the children while actively supervising the children. We reviewed and discussed the safe sleep policy regarding items not allowed in the crib, and safe sleep checks every fifteen (15) minutes for twelve (12) months and younger. After free play, the children transitioned to the high chairs for lunch and then transitioned to cots or crib for nap time. During nap time, one (1) staff member was present, one (1) overhead light was on to allow for enough lighting to see the children, and soft nap time music was playing. Three (3) one year old children were on cots asleep and two (2) were in their cribs crying. The staff member was completing sleep checks, the administrator assisted with the children crying and asked another staff member to come assist. While monitoring, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Space #2, the group of one-to-two- year olds were engaged in group art at the tables drawing flowers and trees. After art, the children transitioned to free play with push toys, baby dolls, and blocks. We discussed that more materials would need to be accessible to the children to freely engage in play with. The bookshelf was empty, and the books were located on top of the cabinet. The staff stated that the closer to lunch she starts to put materials up. I stated that the children should have access to the books to freely look at throughout the day. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap, the children were spaced apart, with one (1) overhead light on in addition to the natural lighting and soft music play. The staff were sitting close to the children and actively supervising while they rest. While monitoring, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. While monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Space #3, the group of two to three year old children were engaged group painting at the table. After group art, the children prepared for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, there was two (2) staff members present sitting close to the children, the overhead kitchen light, bathroom light, and natural lighting was used to assist with supervising the children. Space #4, the group of three to four year old children were engaged in free play with legos, magnetic tiles, books, and links. The staff was moving about the indoor area actively supervising the children. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap time, one (1) staff member was present, the bathroom light was on to provide lighting to supervise the children, and soft nap music was playing. Space #5, the group of four- to eight-year-old children were engaged in free play with legos, links, lacing, and blocks. One (1) staff member was sitting in the floor with the children working on learning to lace and tie shoes and one (1) staff member was getting the art materials ready for an art project. After free play and art the children prepared for lunch. When lunch concluded, the children prepared for nap time. During nap time, one (1) staff member was present, natural lighting was used to light the room, soft nap music was playing. We discussed on a cloudy day the staff would want to turn on one (1) overhead light or use a battery powered camping lattern to help with supervising the children. Lunch today consisted of pizza rolls, mandarin oranges, corn, bread, and milk. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. .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 personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. .0701(a) Technical assistance was provided as follows: Item 533 In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Rule Reference: 15A NCAC 18A.2804(d) Item 721 Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. We discussed while completing the playground check to note any equipment that is showing signs of rust or chipping paint. Then to touch up the paint and treat the area to prevent any rust exposure. Rule Reference: 10A NCAC 09 .0601(b) Item 807 Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. We discussed that the pallet would need to remove to prevent a child from being cut on the sharp edge. Rule Reference: 10A NCAC 09 .0601(a) Item 849 Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Rule Reference: 10A NCAC 09 .0803(12) Item 858 Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. Rule Reference: 10A NCAC 09 .0604(q) Item 1034 Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Item 1035 Staff personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/2025. 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 that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 52 Completed Date: 6/5/2025 Age: From 0 To 8 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Kimberly Morrow, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/5/2024. 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 Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift and meets enhanced space. The last fire drill was practiced on 5/30/2025. The last emergency drill, lockdown drill, was practiced on 3/3/2025. The last fire inspection was approved on 11/7/2024. The last playground inspection was completed on 5/29/2025. The program’s most recent sanitation inspection was completed on 1/9/2025, with six (6) demerits. The Emergency Medical Care Plan is posted and current Upon arrival, I was greeted by Ms. Morrow. A walkthrough of the indoor and outdoor environment was conducted. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, and activity seats. One (1) child was exploring the environment, three (3) engaged in free play with pretend toy foods, one (1) in activity seat. The staff member was sitting in the floor with three (3) children singing and playing with the children while actively supervising the children. We reviewed and discussed the safe sleep policy regarding items not allowed in the crib, and safe sleep checks every fifteen (15) minutes for twelve (12) months and younger. After free play, the children transitioned to the high chairs for lunch and then transitioned to cots or crib for nap time. During nap time, one (1) staff member was present, one (1) overhead light was on to allow for enough lighting to see the children, and soft nap time music was playing. Three (3) one year old children were on cots asleep and two (2) were in their cribs crying. The staff member was completing sleep checks, the administrator assisted with the children crying and asked another staff member to come assist. While monitoring, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Space #2, the group of one-to-two- year olds were engaged in group art at the tables drawing flowers and trees. After art, the children transitioned to free play with push toys, baby dolls, and blocks. We discussed that more materials would need to be accessible to the children to freely engage in play with. The bookshelf was empty, and the books were located on top of the cabinet. The staff stated that the closer to lunch she starts to put materials up. I stated that the children should have access to the books to freely look at throughout the day. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap, the children were spaced apart, with one (1) overhead light on in addition to the natural lighting and soft music play. The staff were sitting close to the children and actively supervising while they rest. While monitoring, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. While monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Space #3, the group of two to three year old children were engaged group painting at the table. After group art, the children prepared for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, there was two (2) staff members present sitting close to the children, the overhead kitchen light, bathroom light, and natural lighting was used to assist with supervising the children. Space #4, the group of three to four year old children were engaged in free play with legos, magnetic tiles, books, and links. The staff was moving about the indoor area actively supervising the children. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap time, one (1) staff member was present, the bathroom light was on to provide lighting to supervise the children, and soft nap music was playing. Space #5, the group of four- to eight-year-old children were engaged in free play with legos, links, lacing, and blocks. One (1) staff member was sitting in the floor with the children working on learning to lace and tie shoes and one (1) staff member was getting the art materials ready for an art project. After free play and art the children prepared for lunch. When lunch concluded, the children prepared for nap time. During nap time, one (1) staff member was present, natural lighting was used to light the room, soft nap music was playing. We discussed on a cloudy day the staff would want to turn on one (1) overhead light or use a battery powered camping lattern to help with supervising the children. Lunch today consisted of pizza rolls, mandarin oranges, corn, bread, and milk. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. .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 personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. .0701(a) Technical assistance was provided as follows: Item 533 In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Rule Reference: 15A NCAC 18A.2804(d) Item 721 Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. We discussed while completing the playground check to note any equipment that is showing signs of rust or chipping paint. Then to touch up the paint and treat the area to prevent any rust exposure. Rule Reference: 10A NCAC 09 .0601(b) Item 807 Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. We discussed that the pallet would need to remove to prevent a child from being cut on the sharp edge. Rule Reference: 10A NCAC 09 .0601(a) Item 849 Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Rule Reference: 10A NCAC 09 .0803(12) Item 858 Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. Rule Reference: 10A NCAC 09 .0604(q) Item 1034 Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Item 1035 Staff personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/2025. 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 that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 52 Completed Date: 6/5/2025 Age: From 0 To 8 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Kimberly Morrow, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/5/2024. 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 Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift and meets enhanced space. The last fire drill was practiced on 5/30/2025. The last emergency drill, lockdown drill, was practiced on 3/3/2025. The last fire inspection was approved on 11/7/2024. The last playground inspection was completed on 5/29/2025. The program’s most recent sanitation inspection was completed on 1/9/2025, with six (6) demerits. The Emergency Medical Care Plan is posted and current Upon arrival, I was greeted by Ms. Morrow. A walkthrough of the indoor and outdoor environment was conducted. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, and activity seats. One (1) child was exploring the environment, three (3) engaged in free play with pretend toy foods, one (1) in activity seat. The staff member was sitting in the floor with three (3) children singing and playing with the children while actively supervising the children. We reviewed and discussed the safe sleep policy regarding items not allowed in the crib, and safe sleep checks every fifteen (15) minutes for twelve (12) months and younger. After free play, the children transitioned to the high chairs for lunch and then transitioned to cots or crib for nap time. During nap time, one (1) staff member was present, one (1) overhead light was on to allow for enough lighting to see the children, and soft nap time music was playing. Three (3) one year old children were on cots asleep and two (2) were in their cribs crying. The staff member was completing sleep checks, the administrator assisted with the children crying and asked another staff member to come assist. While monitoring, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Space #2, the group of one-to-two- year olds were engaged in group art at the tables drawing flowers and trees. After art, the children transitioned to free play with push toys, baby dolls, and blocks. We discussed that more materials would need to be accessible to the children to freely engage in play with. The bookshelf was empty, and the books were located on top of the cabinet. The staff stated that the closer to lunch she starts to put materials up. I stated that the children should have access to the books to freely look at throughout the day. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap, the children were spaced apart, with one (1) overhead light on in addition to the natural lighting and soft music play. The staff were sitting close to the children and actively supervising while they rest. While monitoring, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. While monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Space #3, the group of two to three year old children were engaged group painting at the table. After group art, the children prepared for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, there was two (2) staff members present sitting close to the children, the overhead kitchen light, bathroom light, and natural lighting was used to assist with supervising the children. Space #4, the group of three to four year old children were engaged in free play with legos, magnetic tiles, books, and links. The staff was moving about the indoor area actively supervising the children. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap time, one (1) staff member was present, the bathroom light was on to provide lighting to supervise the children, and soft nap music was playing. Space #5, the group of four- to eight-year-old children were engaged in free play with legos, links, lacing, and blocks. One (1) staff member was sitting in the floor with the children working on learning to lace and tie shoes and one (1) staff member was getting the art materials ready for an art project. After free play and art the children prepared for lunch. When lunch concluded, the children prepared for nap time. During nap time, one (1) staff member was present, natural lighting was used to light the room, soft nap music was playing. We discussed on a cloudy day the staff would want to turn on one (1) overhead light or use a battery powered camping lattern to help with supervising the children. Lunch today consisted of pizza rolls, mandarin oranges, corn, bread, and milk. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. .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 personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. .0701(a) Technical assistance was provided as follows: Item 533 In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Rule Reference: 15A NCAC 18A.2804(d) Item 721 Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. We discussed while completing the playground check to note any equipment that is showing signs of rust or chipping paint. Then to touch up the paint and treat the area to prevent any rust exposure. Rule Reference: 10A NCAC 09 .0601(b) Item 807 Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. We discussed that the pallet would need to remove to prevent a child from being cut on the sharp edge. Rule Reference: 10A NCAC 09 .0601(a) Item 849 Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Rule Reference: 10A NCAC 09 .0803(12) Item 858 Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. Rule Reference: 10A NCAC 09 .0604(q) Item 1034 Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Item 1035 Staff personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/2025. 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 that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 52 Completed Date: 6/5/2025 Age: From 0 To 8 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Kimberly Morrow, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/5/2024. 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 Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift and meets enhanced space. The last fire drill was practiced on 5/30/2025. The last emergency drill, lockdown drill, was practiced on 3/3/2025. The last fire inspection was approved on 11/7/2024. The last playground inspection was completed on 5/29/2025. The program’s most recent sanitation inspection was completed on 1/9/2025, with six (6) demerits. The Emergency Medical Care Plan is posted and current Upon arrival, I was greeted by Ms. Morrow. A walkthrough of the indoor and outdoor environment was conducted. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, and activity seats. One (1) child was exploring the environment, three (3) engaged in free play with pretend toy foods, one (1) in activity seat. The staff member was sitting in the floor with three (3) children singing and playing with the children while actively supervising the children. We reviewed and discussed the safe sleep policy regarding items not allowed in the crib, and safe sleep checks every fifteen (15) minutes for twelve (12) months and younger. After free play, the children transitioned to the high chairs for lunch and then transitioned to cots or crib for nap time. During nap time, one (1) staff member was present, one (1) overhead light was on to allow for enough lighting to see the children, and soft nap time music was playing. Three (3) one year old children were on cots asleep and two (2) were in their cribs crying. The staff member was completing sleep checks, the administrator assisted with the children crying and asked another staff member to come assist. While monitoring, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Space #2, the group of one-to-two- year olds were engaged in group art at the tables drawing flowers and trees. After art, the children transitioned to free play with push toys, baby dolls, and blocks. We discussed that more materials would need to be accessible to the children to freely engage in play with. The bookshelf was empty, and the books were located on top of the cabinet. The staff stated that the closer to lunch she starts to put materials up. I stated that the children should have access to the books to freely look at throughout the day. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap, the children were spaced apart, with one (1) overhead light on in addition to the natural lighting and soft music play. The staff were sitting close to the children and actively supervising while they rest. While monitoring, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. While monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Space #3, the group of two to three year old children were engaged group painting at the table. After group art, the children prepared for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, there was two (2) staff members present sitting close to the children, the overhead kitchen light, bathroom light, and natural lighting was used to assist with supervising the children. Space #4, the group of three to four year old children were engaged in free play with legos, magnetic tiles, books, and links. The staff was moving about the indoor area actively supervising the children. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap time, one (1) staff member was present, the bathroom light was on to provide lighting to supervise the children, and soft nap music was playing. Space #5, the group of four- to eight-year-old children were engaged in free play with legos, links, lacing, and blocks. One (1) staff member was sitting in the floor with the children working on learning to lace and tie shoes and one (1) staff member was getting the art materials ready for an art project. After free play and art the children prepared for lunch. When lunch concluded, the children prepared for nap time. During nap time, one (1) staff member was present, natural lighting was used to light the room, soft nap music was playing. We discussed on a cloudy day the staff would want to turn on one (1) overhead light or use a battery powered camping lattern to help with supervising the children. Lunch today consisted of pizza rolls, mandarin oranges, corn, bread, and milk. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. .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 personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. .0701(a) Technical assistance was provided as follows: Item 533 In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Rule Reference: 15A NCAC 18A.2804(d) Item 721 Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. We discussed while completing the playground check to note any equipment that is showing signs of rust or chipping paint. Then to touch up the paint and treat the area to prevent any rust exposure. Rule Reference: 10A NCAC 09 .0601(b) Item 807 Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. We discussed that the pallet would need to remove to prevent a child from being cut on the sharp edge. Rule Reference: 10A NCAC 09 .0601(a) Item 849 Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Rule Reference: 10A NCAC 09 .0803(12) Item 858 Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. Rule Reference: 10A NCAC 09 .0604(q) Item 1034 Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Item 1035 Staff personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/2025. 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 that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. 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. 110-91 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 52 Completed Date: 6/5/2025 Age: From 0 To 8 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Kimberly Morrow, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/5/2024. 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 Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift and meets enhanced space. The last fire drill was practiced on 5/30/2025. The last emergency drill, lockdown drill, was practiced on 3/3/2025. The last fire inspection was approved on 11/7/2024. The last playground inspection was completed on 5/29/2025. The program’s most recent sanitation inspection was completed on 1/9/2025, with six (6) demerits. The Emergency Medical Care Plan is posted and current Upon arrival, I was greeted by Ms. Morrow. A walkthrough of the indoor and outdoor environment was conducted. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, and activity seats. One (1) child was exploring the environment, three (3) engaged in free play with pretend toy foods, one (1) in activity seat. The staff member was sitting in the floor with three (3) children singing and playing with the children while actively supervising the children. We reviewed and discussed the safe sleep policy regarding items not allowed in the crib, and safe sleep checks every fifteen (15) minutes for twelve (12) months and younger. After free play, the children transitioned to the high chairs for lunch and then transitioned to cots or crib for nap time. During nap time, one (1) staff member was present, one (1) overhead light was on to allow for enough lighting to see the children, and soft nap time music was playing. Three (3) one year old children were on cots asleep and two (2) were in their cribs crying. The staff member was completing sleep checks, the administrator assisted with the children crying and asked another staff member to come assist. While monitoring, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Space #2, the group of one-to-two- year olds were engaged in group art at the tables drawing flowers and trees. After art, the children transitioned to free play with push toys, baby dolls, and blocks. We discussed that more materials would need to be accessible to the children to freely engage in play with. The bookshelf was empty, and the books were located on top of the cabinet. The staff stated that the closer to lunch she starts to put materials up. I stated that the children should have access to the books to freely look at throughout the day. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap, the children were spaced apart, with one (1) overhead light on in addition to the natural lighting and soft music play. The staff were sitting close to the children and actively supervising while they rest. While monitoring, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. While monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Space #3, the group of two to three year old children were engaged group painting at the table. After group art, the children prepared for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, there was two (2) staff members present sitting close to the children, the overhead kitchen light, bathroom light, and natural lighting was used to assist with supervising the children. Space #4, the group of three to four year old children were engaged in free play with legos, magnetic tiles, books, and links. The staff was moving about the indoor area actively supervising the children. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap time, one (1) staff member was present, the bathroom light was on to provide lighting to supervise the children, and soft nap music was playing. Space #5, the group of four- to eight-year-old children were engaged in free play with legos, links, lacing, and blocks. One (1) staff member was sitting in the floor with the children working on learning to lace and tie shoes and one (1) staff member was getting the art materials ready for an art project. After free play and art the children prepared for lunch. When lunch concluded, the children prepared for nap time. During nap time, one (1) staff member was present, natural lighting was used to light the room, soft nap music was playing. We discussed on a cloudy day the staff would want to turn on one (1) overhead light or use a battery powered camping lattern to help with supervising the children. Lunch today consisted of pizza rolls, mandarin oranges, corn, bread, and milk. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. .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 personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. .0701(a) Technical assistance was provided as follows: Item 533 In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Rule Reference: 15A NCAC 18A.2804(d) Item 721 Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. We discussed while completing the playground check to note any equipment that is showing signs of rust or chipping paint. Then to touch up the paint and treat the area to prevent any rust exposure. Rule Reference: 10A NCAC 09 .0601(b) Item 807 Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. We discussed that the pallet would need to remove to prevent a child from being cut on the sharp edge. Rule Reference: 10A NCAC 09 .0601(a) Item 849 Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Rule Reference: 10A NCAC 09 .0803(12) Item 858 Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. Rule Reference: 10A NCAC 09 .0604(q) Item 1034 Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Item 1035 Staff personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/2025. 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 that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/5/2025 Number Present: 52 Completed Date: 6/5/2025 Age: From 0 To 8 Total Minutes: 200 Time In: 10:10 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor your program for compliance with applicable child care requirements for a routine unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator during the visit. A signed copy of the visit summary was left on-site with you. Kimberly Morrow, Administrator, accompanied me today during the walk through and was available to assist with questions. The program’s annual compliance visit was conducted on 12/5/2024. 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 Permit type – Three (3) Star Rated License, issue 12/21/2023. Special Services/Restrictions – first shift and meets enhanced space. The last fire drill was practiced on 5/30/2025. The last emergency drill, lockdown drill, was practiced on 3/3/2025. The last fire inspection was approved on 11/7/2024. The last playground inspection was completed on 5/29/2025. The program’s most recent sanitation inspection was completed on 1/9/2025, with six (6) demerits. The Emergency Medical Care Plan is posted and current Upon arrival, I was greeted by Ms. Morrow. A walkthrough of the indoor and outdoor environment was conducted. Space #1, the group of infant to one year old children were engaged in exploring the environment, free play with plastic pretend food toys, and activity seats. One (1) child was exploring the environment, three (3) engaged in free play with pretend toy foods, one (1) in activity seat. The staff member was sitting in the floor with three (3) children singing and playing with the children while actively supervising the children. We reviewed and discussed the safe sleep policy regarding items not allowed in the crib, and safe sleep checks every fifteen (15) minutes for twelve (12) months and younger. After free play, the children transitioned to the high chairs for lunch and then transitioned to cots or crib for nap time. During nap time, one (1) staff member was present, one (1) overhead light was on to allow for enough lighting to see the children, and soft nap time music was playing. Three (3) one year old children were on cots asleep and two (2) were in their cribs crying. The staff member was completing sleep checks, the administrator assisted with the children crying and asked another staff member to come assist. While monitoring, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Space #2, the group of one-to-two- year olds were engaged in group art at the tables drawing flowers and trees. After art, the children transitioned to free play with push toys, baby dolls, and blocks. We discussed that more materials would need to be accessible to the children to freely engage in play with. The bookshelf was empty, and the books were located on top of the cabinet. The staff stated that the closer to lunch she starts to put materials up. I stated that the children should have access to the books to freely look at throughout the day. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap, the children were spaced apart, with one (1) overhead light on in addition to the natural lighting and soft music play. The staff were sitting close to the children and actively supervising while they rest. While monitoring, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. While monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Space #3, the group of two to three year old children were engaged group painting at the table. After group art, the children prepared for lunch. When lunch concluded, the group transitioned to their cots for nap. During nap time, there was two (2) staff members present sitting close to the children, the overhead kitchen light, bathroom light, and natural lighting was used to assist with supervising the children. Space #4, the group of three to four year old children were engaged in free play with legos, magnetic tiles, books, and links. The staff was moving about the indoor area actively supervising the children. After free play, the children prepared for lunch. When lunch concluded, the children prepared for nap. During nap time, one (1) staff member was present, the bathroom light was on to provide lighting to supervise the children, and soft nap music was playing. Space #5, the group of four- to eight-year-old children were engaged in free play with legos, links, lacing, and blocks. One (1) staff member was sitting in the floor with the children working on learning to lace and tie shoes and one (1) staff member was getting the art materials ready for an art project. After free play and art the children prepared for lunch. When lunch concluded, the children prepared for nap time. During nap time, one (1) staff member was present, natural lighting was used to light the room, soft nap music was playing. We discussed on a cloudy day the staff would want to turn on one (1) overhead light or use a battery powered camping lattern to help with supervising the children. Lunch today consisted of pizza rolls, mandarin oranges, corn, bread, and milk. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. 15A NCAC 18A .2804(d) 721 All equipment and furnishings were not in good repair. Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. G.S. 110-91(6); .0601(b) 807 A safe indoor and outdoor environment was not provided for the children. Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. 10A NCAC 09 .0601(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. .0803(12) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. .0604(q) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. .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 personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. .0701(a) Technical assistance was provided as follows: Item 533 In space #1, I observed one (1) child’s bottles were labeled 5/5 in the refrigerator. I asked if the bottles were brought in today, and the staff stated yes. I stated the bottle is labeled 5/5 and today is 6/5/2025. The administrator removed the label and updated the label to reflect the current date during the visit. We discussed that the staff will need to review the labels prior to putting them into the refrigerator to ensure the label reflects the appropriate name and date. Rule Reference: 15A NCAC 18A.2804(d) Item 721 Outside, I observed two (2) white metal rocking horses were showing rust where the paint had chipped off, and one (1) green metal jeep was showing rust where the paint had chipped off. We discussed while completing the playground check to note any equipment that is showing signs of rust or chipping paint. Then to touch up the paint and treat the area to prevent any rust exposure. Rule Reference: 10A NCAC 09 .0601(b) Item 807 Outside, I observed one (1) wooden pallet standing up against the building with sharp edges accessible to children. We discussed that the pallet would need to remove to prevent a child from being cut on the sharp edge. Rule Reference: 10A NCAC 09 .0601(a) Item 849 Space #2, while monitoring medications, I observed one (1) diaper cream that expired 9/2024. The administrator removed the diaper cream from the space and discarded it during the visit. We discussed having staff conduct a monthly medication check to review the expiration date of the medications and the forms are valid. Rule Reference: 10A NCAC 09 .0803(12) Item 858 Space #2, while monitoring the classroom, I observed easily torn plastic wipe packaging and diapering packaging below five (5) feet and accessible to children. The administrator moved these during the visit. We discussed items that are easily torn must be inaccessible to children. Rule Reference: 10A NCAC 09 .0604(q) Item 1034 Staff confidential file did not contain an updated annual health questionnaire following the initial medical statement. The last health questionnaire on file were dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Item 1035 Staff personnel file did not contain an updated emergency information form. The last emergency information form on file was dated 5/3/2024. During the visit, the staff member updated the form. We discussed that the forms are to be reviewed and updated annually. Rule Reference: 10A NCAC 09.0701(a) Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/18/2025. 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 that summer is here and I recommend conducting a staff meeting to refresh everyone on the importance of supervision throughout the day (indoor, outdoor, nap time, etc). Then to review the weather watch chart and discuss checking the heat index/air quality prior to going outside. 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 54 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 01:15 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jennifer Dawkins, Lead Teacher. Kimberly Morrow, Administrator arrived 1:20p and I reviewed the reason for my visit with her. Your program currently operates with a Three (3) Star Rated License effective 12/21/2023. The permit restrictions were in compliance including first shift and meets enhanced space. Kimberly Morrow, Administrator, arrived at 1:20p and available to assist with questions. The program’s annual compliance visit was conducted on 12/12/2023. 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 was greeted by Jennifer Dawkins, Lead Teacher. She stated Ms. Morrow was off-site but she would contact her. Ms. Morrow arrived at 1:20p. During the visit, I monitored the indoor and outdoor space. In space #1, a group of infant and one year old children were at nap and the two (2) children that were awake were provided a quite activity. While monitoring I observed one (1) electrical outlet uncovered on the powerstrip near the speaker, and one (1) locked cabinet with hazardous products unlocked. The teacher corrected the electrical outlet and unlocked cabinet during the visit. In space # 2, the children were at nap and the children that were awake had a quite activity on their cots. While monitoring, I observed plastic wipe packaging below five (5) feet accessible to children. During the visit, the administrator moved the plastic wipe packaging’s up five (5) feet. In space #3, the children were napping. While monitoring I observed the unattended mop bucket in the classroom accessible to children. The administrator moved the unattended mop bucket to the kitchen area. In space #4, the group of three to four year old children were napping. After nap, the children got up and put away their cots and preparing for snack. In space # 5, the group of four to five year old children were engaged in nap. After nap, the children put away their mats and prepared for snack. Staff were actively supervising the children by moving about the indoor space. Snack today consisted of goldfish and apple juice. The last fire drill was practiced on 6/3/2024. The last emergency drill, shelter in place drill, was practiced on 6/3/2024. The last fire inspection was approved on 10/9/2023. The program’s most recent sanitation inspection was completed on 1/12/2024, with four (4) demerits. The Emergency Preparedness and Response plan is current and up to date. The Emergency Medical Care Plan is posted and was current. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, unlocked hazardous products cabinet at the handwashing sink. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet .0604(q) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/25/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. The teacher corrected this during the visit. I recommend conducting a daily check routinely throughout the day to ensure that all electrical outlet are covered. 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. - In space #1, unlocked hazardous products cabinet at the handwashing sink. The teacher corrected this during the visit by locking the cabinet. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. The administrator corrected this during the visit by moving the mop bucket in the locked kitchen. I recommend conducting a daily check routinely throughout the day to ensure that all hazardous products are locked and mop bucket is stored appropriately. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. - In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet. The administrator moved the plastic wipe packaging’s up to the top of the cabinet. I recommend conducting a daily check routinely throughout the day to ensure that all plastic are inaccessible to children under three years old. Consultation: Today, we discussed the following: - Surfacing is compacted and needs to be raked or tilled. You stated that you have mulch on order and will arrive soon. - Supervision during nap time, ensure all children’s faces are viewable to ensure that a child is not choking or turning blue. When a child covers their head, you will need to remove the blanket to ensure that the child is breathing and not choking. 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. 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 Kimberly Morrow, Administrator, during the visit. An electronic copy of the visit summary was left with 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 54 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 01:15 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jennifer Dawkins, Lead Teacher. Kimberly Morrow, Administrator arrived 1:20p and I reviewed the reason for my visit with her. Your program currently operates with a Three (3) Star Rated License effective 12/21/2023. The permit restrictions were in compliance including first shift and meets enhanced space. Kimberly Morrow, Administrator, arrived at 1:20p and available to assist with questions. The program’s annual compliance visit was conducted on 12/12/2023. 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 was greeted by Jennifer Dawkins, Lead Teacher. She stated Ms. Morrow was off-site but she would contact her. Ms. Morrow arrived at 1:20p. During the visit, I monitored the indoor and outdoor space. In space #1, a group of infant and one year old children were at nap and the two (2) children that were awake were provided a quite activity. While monitoring I observed one (1) electrical outlet uncovered on the powerstrip near the speaker, and one (1) locked cabinet with hazardous products unlocked. The teacher corrected the electrical outlet and unlocked cabinet during the visit. In space # 2, the children were at nap and the children that were awake had a quite activity on their cots. While monitoring, I observed plastic wipe packaging below five (5) feet accessible to children. During the visit, the administrator moved the plastic wipe packaging’s up five (5) feet. In space #3, the children were napping. While monitoring I observed the unattended mop bucket in the classroom accessible to children. The administrator moved the unattended mop bucket to the kitchen area. In space #4, the group of three to four year old children were napping. After nap, the children got up and put away their cots and preparing for snack. In space # 5, the group of four to five year old children were engaged in nap. After nap, the children put away their mats and prepared for snack. Staff were actively supervising the children by moving about the indoor space. Snack today consisted of goldfish and apple juice. The last fire drill was practiced on 6/3/2024. The last emergency drill, shelter in place drill, was practiced on 6/3/2024. The last fire inspection was approved on 10/9/2023. The program’s most recent sanitation inspection was completed on 1/12/2024, with four (4) demerits. The Emergency Preparedness and Response plan is current and up to date. The Emergency Medical Care Plan is posted and was current. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, unlocked hazardous products cabinet at the handwashing sink. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet .0604(q) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/25/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. The teacher corrected this during the visit. I recommend conducting a daily check routinely throughout the day to ensure that all electrical outlet are covered. 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. - In space #1, unlocked hazardous products cabinet at the handwashing sink. The teacher corrected this during the visit by locking the cabinet. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. The administrator corrected this during the visit by moving the mop bucket in the locked kitchen. I recommend conducting a daily check routinely throughout the day to ensure that all hazardous products are locked and mop bucket is stored appropriately. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. - In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet. The administrator moved the plastic wipe packaging’s up to the top of the cabinet. I recommend conducting a daily check routinely throughout the day to ensure that all plastic are inaccessible to children under three years old. Consultation: Today, we discussed the following: - Surfacing is compacted and needs to be raked or tilled. You stated that you have mulch on order and will arrive soon. - Supervision during nap time, ensure all children’s faces are viewable to ensure that a child is not choking or turning blue. When a child covers their head, you will need to remove the blanket to ensure that the child is breathing and not choking. 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. 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 Kimberly Morrow, Administrator, during the visit. An electronic copy of the visit summary was left with 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 54 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 01:15 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jennifer Dawkins, Lead Teacher. Kimberly Morrow, Administrator arrived 1:20p and I reviewed the reason for my visit with her. Your program currently operates with a Three (3) Star Rated License effective 12/21/2023. The permit restrictions were in compliance including first shift and meets enhanced space. Kimberly Morrow, Administrator, arrived at 1:20p and available to assist with questions. The program’s annual compliance visit was conducted on 12/12/2023. 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 was greeted by Jennifer Dawkins, Lead Teacher. She stated Ms. Morrow was off-site but she would contact her. Ms. Morrow arrived at 1:20p. During the visit, I monitored the indoor and outdoor space. In space #1, a group of infant and one year old children were at nap and the two (2) children that were awake were provided a quite activity. While monitoring I observed one (1) electrical outlet uncovered on the powerstrip near the speaker, and one (1) locked cabinet with hazardous products unlocked. The teacher corrected the electrical outlet and unlocked cabinet during the visit. In space # 2, the children were at nap and the children that were awake had a quite activity on their cots. While monitoring, I observed plastic wipe packaging below five (5) feet accessible to children. During the visit, the administrator moved the plastic wipe packaging’s up five (5) feet. In space #3, the children were napping. While monitoring I observed the unattended mop bucket in the classroom accessible to children. The administrator moved the unattended mop bucket to the kitchen area. In space #4, the group of three to four year old children were napping. After nap, the children got up and put away their cots and preparing for snack. In space # 5, the group of four to five year old children were engaged in nap. After nap, the children put away their mats and prepared for snack. Staff were actively supervising the children by moving about the indoor space. Snack today consisted of goldfish and apple juice. The last fire drill was practiced on 6/3/2024. The last emergency drill, shelter in place drill, was practiced on 6/3/2024. The last fire inspection was approved on 10/9/2023. The program’s most recent sanitation inspection was completed on 1/12/2024, with four (4) demerits. The Emergency Preparedness and Response plan is current and up to date. The Emergency Medical Care Plan is posted and was current. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, unlocked hazardous products cabinet at the handwashing sink. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet .0604(q) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/25/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. The teacher corrected this during the visit. I recommend conducting a daily check routinely throughout the day to ensure that all electrical outlet are covered. 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. - In space #1, unlocked hazardous products cabinet at the handwashing sink. The teacher corrected this during the visit by locking the cabinet. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. The administrator corrected this during the visit by moving the mop bucket in the locked kitchen. I recommend conducting a daily check routinely throughout the day to ensure that all hazardous products are locked and mop bucket is stored appropriately. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. - In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet. The administrator moved the plastic wipe packaging’s up to the top of the cabinet. I recommend conducting a daily check routinely throughout the day to ensure that all plastic are inaccessible to children under three years old. Consultation: Today, we discussed the following: - Surfacing is compacted and needs to be raked or tilled. You stated that you have mulch on order and will arrive soon. - Supervision during nap time, ensure all children’s faces are viewable to ensure that a child is not choking or turning blue. When a child covers their head, you will need to remove the blanket to ensure that the child is breathing and not choking. 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. 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 Kimberly Morrow, Administrator, during the visit. An electronic copy of the visit summary was left with 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 54 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 01:15 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jennifer Dawkins, Lead Teacher. Kimberly Morrow, Administrator arrived 1:20p and I reviewed the reason for my visit with her. Your program currently operates with a Three (3) Star Rated License effective 12/21/2023. The permit restrictions were in compliance including first shift and meets enhanced space. Kimberly Morrow, Administrator, arrived at 1:20p and available to assist with questions. The program’s annual compliance visit was conducted on 12/12/2023. 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 was greeted by Jennifer Dawkins, Lead Teacher. She stated Ms. Morrow was off-site but she would contact her. Ms. Morrow arrived at 1:20p. During the visit, I monitored the indoor and outdoor space. In space #1, a group of infant and one year old children were at nap and the two (2) children that were awake were provided a quite activity. While monitoring I observed one (1) electrical outlet uncovered on the powerstrip near the speaker, and one (1) locked cabinet with hazardous products unlocked. The teacher corrected the electrical outlet and unlocked cabinet during the visit. In space # 2, the children were at nap and the children that were awake had a quite activity on their cots. While monitoring, I observed plastic wipe packaging below five (5) feet accessible to children. During the visit, the administrator moved the plastic wipe packaging’s up five (5) feet. In space #3, the children were napping. While monitoring I observed the unattended mop bucket in the classroom accessible to children. The administrator moved the unattended mop bucket to the kitchen area. In space #4, the group of three to four year old children were napping. After nap, the children got up and put away their cots and preparing for snack. In space # 5, the group of four to five year old children were engaged in nap. After nap, the children put away their mats and prepared for snack. Staff were actively supervising the children by moving about the indoor space. Snack today consisted of goldfish and apple juice. The last fire drill was practiced on 6/3/2024. The last emergency drill, shelter in place drill, was practiced on 6/3/2024. The last fire inspection was approved on 10/9/2023. The program’s most recent sanitation inspection was completed on 1/12/2024, with four (4) demerits. The Emergency Preparedness and Response plan is current and up to date. The Emergency Medical Care Plan is posted and was current. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, unlocked hazardous products cabinet at the handwashing sink. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet .0604(q) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/25/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. The teacher corrected this during the visit. I recommend conducting a daily check routinely throughout the day to ensure that all electrical outlet are covered. 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. - In space #1, unlocked hazardous products cabinet at the handwashing sink. The teacher corrected this during the visit by locking the cabinet. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. The administrator corrected this during the visit by moving the mop bucket in the locked kitchen. I recommend conducting a daily check routinely throughout the day to ensure that all hazardous products are locked and mop bucket is stored appropriately. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. - In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet. The administrator moved the plastic wipe packaging’s up to the top of the cabinet. I recommend conducting a daily check routinely throughout the day to ensure that all plastic are inaccessible to children under three years old. Consultation: Today, we discussed the following: - Surfacing is compacted and needs to be raked or tilled. You stated that you have mulch on order and will arrive soon. - Supervision during nap time, ensure all children’s faces are viewable to ensure that a child is not choking or turning blue. When a child covers their head, you will need to remove the blanket to ensure that the child is breathing and not choking. 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. 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 Kimberly Morrow, Administrator, during the visit. An electronic copy of the visit summary was left with 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 54 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 01:15 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jennifer Dawkins, Lead Teacher. Kimberly Morrow, Administrator arrived 1:20p and I reviewed the reason for my visit with her. Your program currently operates with a Three (3) Star Rated License effective 12/21/2023. The permit restrictions were in compliance including first shift and meets enhanced space. Kimberly Morrow, Administrator, arrived at 1:20p and available to assist with questions. The program’s annual compliance visit was conducted on 12/12/2023. 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 was greeted by Jennifer Dawkins, Lead Teacher. She stated Ms. Morrow was off-site but she would contact her. Ms. Morrow arrived at 1:20p. During the visit, I monitored the indoor and outdoor space. In space #1, a group of infant and one year old children were at nap and the two (2) children that were awake were provided a quite activity. While monitoring I observed one (1) electrical outlet uncovered on the powerstrip near the speaker, and one (1) locked cabinet with hazardous products unlocked. The teacher corrected the electrical outlet and unlocked cabinet during the visit. In space # 2, the children were at nap and the children that were awake had a quite activity on their cots. While monitoring, I observed plastic wipe packaging below five (5) feet accessible to children. During the visit, the administrator moved the plastic wipe packaging’s up five (5) feet. In space #3, the children were napping. While monitoring I observed the unattended mop bucket in the classroom accessible to children. The administrator moved the unattended mop bucket to the kitchen area. In space #4, the group of three to four year old children were napping. After nap, the children got up and put away their cots and preparing for snack. In space # 5, the group of four to five year old children were engaged in nap. After nap, the children put away their mats and prepared for snack. Staff were actively supervising the children by moving about the indoor space. Snack today consisted of goldfish and apple juice. The last fire drill was practiced on 6/3/2024. The last emergency drill, shelter in place drill, was practiced on 6/3/2024. The last fire inspection was approved on 10/9/2023. The program’s most recent sanitation inspection was completed on 1/12/2024, with four (4) demerits. The Emergency Preparedness and Response plan is current and up to date. The Emergency Medical Care Plan is posted and was current. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, unlocked hazardous products cabinet at the handwashing sink. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet .0604(q) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/25/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. The teacher corrected this during the visit. I recommend conducting a daily check routinely throughout the day to ensure that all electrical outlet are covered. 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. - In space #1, unlocked hazardous products cabinet at the handwashing sink. The teacher corrected this during the visit by locking the cabinet. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. The administrator corrected this during the visit by moving the mop bucket in the locked kitchen. I recommend conducting a daily check routinely throughout the day to ensure that all hazardous products are locked and mop bucket is stored appropriately. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. - In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet. The administrator moved the plastic wipe packaging’s up to the top of the cabinet. I recommend conducting a daily check routinely throughout the day to ensure that all plastic are inaccessible to children under three years old. Consultation: Today, we discussed the following: - Surfacing is compacted and needs to be raked or tilled. You stated that you have mulch on order and will arrive soon. - Supervision during nap time, ensure all children’s faces are viewable to ensure that a child is not choking or turning blue. When a child covers their head, you will need to remove the blanket to ensure that the child is breathing and not choking. 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. 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 Kimberly Morrow, Administrator, during the visit. An electronic copy of the visit summary was left with 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 54 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 01:15 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jennifer Dawkins, Lead Teacher. Kimberly Morrow, Administrator arrived 1:20p and I reviewed the reason for my visit with her. Your program currently operates with a Three (3) Star Rated License effective 12/21/2023. The permit restrictions were in compliance including first shift and meets enhanced space. Kimberly Morrow, Administrator, arrived at 1:20p and available to assist with questions. The program’s annual compliance visit was conducted on 12/12/2023. 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 was greeted by Jennifer Dawkins, Lead Teacher. She stated Ms. Morrow was off-site but she would contact her. Ms. Morrow arrived at 1:20p. During the visit, I monitored the indoor and outdoor space. In space #1, a group of infant and one year old children were at nap and the two (2) children that were awake were provided a quite activity. While monitoring I observed one (1) electrical outlet uncovered on the powerstrip near the speaker, and one (1) locked cabinet with hazardous products unlocked. The teacher corrected the electrical outlet and unlocked cabinet during the visit. In space # 2, the children were at nap and the children that were awake had a quite activity on their cots. While monitoring, I observed plastic wipe packaging below five (5) feet accessible to children. During the visit, the administrator moved the plastic wipe packaging’s up five (5) feet. In space #3, the children were napping. While monitoring I observed the unattended mop bucket in the classroom accessible to children. The administrator moved the unattended mop bucket to the kitchen area. In space #4, the group of three to four year old children were napping. After nap, the children got up and put away their cots and preparing for snack. In space # 5, the group of four to five year old children were engaged in nap. After nap, the children put away their mats and prepared for snack. Staff were actively supervising the children by moving about the indoor space. Snack today consisted of goldfish and apple juice. The last fire drill was practiced on 6/3/2024. The last emergency drill, shelter in place drill, was practiced on 6/3/2024. The last fire inspection was approved on 10/9/2023. The program’s most recent sanitation inspection was completed on 1/12/2024, with four (4) demerits. The Emergency Preparedness and Response plan is current and up to date. The Emergency Medical Care Plan is posted and was current. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, unlocked hazardous products cabinet at the handwashing sink. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet .0604(q) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/25/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. The teacher corrected this during the visit. I recommend conducting a daily check routinely throughout the day to ensure that all electrical outlet are covered. 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. - In space #1, unlocked hazardous products cabinet at the handwashing sink. The teacher corrected this during the visit by locking the cabinet. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. The administrator corrected this during the visit by moving the mop bucket in the locked kitchen. I recommend conducting a daily check routinely throughout the day to ensure that all hazardous products are locked and mop bucket is stored appropriately. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. - In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet. The administrator moved the plastic wipe packaging’s up to the top of the cabinet. I recommend conducting a daily check routinely throughout the day to ensure that all plastic are inaccessible to children under three years old. Consultation: Today, we discussed the following: - Surfacing is compacted and needs to be raked or tilled. You stated that you have mulch on order and will arrive soon. - Supervision during nap time, ensure all children’s faces are viewable to ensure that a child is not choking or turning blue. When a child covers their head, you will need to remove the blanket to ensure that the child is breathing and not choking. 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. 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 Kimberly Morrow, Administrator, during the visit. An electronic copy of the visit summary was left with 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 6/12/2024 Number Present: 54 Completed Date: 6/12/2024 Age: From 0 To 5 Total Minutes: 105 Time In: 01:15 PM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Jennifer Dawkins, Lead Teacher. Kimberly Morrow, Administrator arrived 1:20p and I reviewed the reason for my visit with her. Your program currently operates with a Three (3) Star Rated License effective 12/21/2023. The permit restrictions were in compliance including first shift and meets enhanced space. Kimberly Morrow, Administrator, arrived at 1:20p and available to assist with questions. The program’s annual compliance visit was conducted on 12/12/2023. 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 was greeted by Jennifer Dawkins, Lead Teacher. She stated Ms. Morrow was off-site but she would contact her. Ms. Morrow arrived at 1:20p. During the visit, I monitored the indoor and outdoor space. In space #1, a group of infant and one year old children were at nap and the two (2) children that were awake were provided a quite activity. While monitoring I observed one (1) electrical outlet uncovered on the powerstrip near the speaker, and one (1) locked cabinet with hazardous products unlocked. The teacher corrected the electrical outlet and unlocked cabinet during the visit. In space # 2, the children were at nap and the children that were awake had a quite activity on their cots. While monitoring, I observed plastic wipe packaging below five (5) feet accessible to children. During the visit, the administrator moved the plastic wipe packaging’s up five (5) feet. In space #3, the children were napping. While monitoring I observed the unattended mop bucket in the classroom accessible to children. The administrator moved the unattended mop bucket to the kitchen area. In space #4, the group of three to four year old children were napping. After nap, the children got up and put away their cots and preparing for snack. In space # 5, the group of four to five year old children were engaged in nap. After nap, the children put away their mats and prepared for snack. Staff were actively supervising the children by moving about the indoor space. Snack today consisted of goldfish and apple juice. The last fire drill was practiced on 6/3/2024. The last emergency drill, shelter in place drill, was practiced on 6/3/2024. The last fire inspection was approved on 10/9/2023. The program’s most recent sanitation inspection was completed on 1/12/2024, with four (4) demerits. The Emergency Preparedness and Response plan is current and up to date. The Emergency Medical Care Plan is posted and was current. 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. The following violations of child care requirements were observed today: Violation Number Comment Rule 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. 10A NCAC 09 .0604(c) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. In space #1, unlocked hazardous products cabinet at the handwashing sink. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. .2820(b) 858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet .0604(q) Corrective Action Plan: All violations are required to be corrected immediately. However, if at any time you are unable to correct all violations within the specified time frame, please send a written statement regarding those violations that were corrected and include a specific plan for correction of the remaining violations. Please be aware that any written information submitted by you regarding correction of violations documented during today’s visit would be considered as legal documentation. Therefore, it is important that all information submitted be accurate and truthful. Please be aware that if it is determined that information submitted was inaccurate or willfully falsified, an Administrative Action, including Revocation of the facility’s license could be issued. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/25/2024. Email the compliance letter on signed letterhead or on the email identifying your facility name, ID#, name and position to: karla.terry@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Karla Terry PO Box 552 Ellenboro, NC 28040 Please call me at 828-200-9952, or email karla.terry@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Falsification of any information may result in a revocation of your license. You must maintain at least 75% Compliance History for each 18-month period as required by G.S. 110-90(4) (c). Please note any violations cited today and during future visits will negatively impact your compliance history. Repeated violations or violations left unresolved may lead to an administrative action. Technical Assistance for Correction Plan: Item #812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. - In space #1, one (1) electrical outlet uncovered on the powerstrip near the speaker. The teacher corrected this during the visit. I recommend conducting a daily check routinely throughout the day to ensure that all electrical outlet are covered. 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. - In space #1, unlocked hazardous products cabinet at the handwashing sink. The teacher corrected this during the visit by locking the cabinet. In space# 3, unattended mop bucket sitting outside the kitchen door in the classroom space. The administrator corrected this during the visit by moving the mop bucket in the locked kitchen. I recommend conducting a daily check routinely throughout the day to ensure that all hazardous products are locked and mop bucket is stored appropriately. Item #858 Plastic bags, materials that could be torn apart and toy parts small enough to be swallowed were accessible to children under three years of age. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (q) Plastic bags, toys, toy parts small enough to be swallowed, and materials that can be torn apart, such as foam rubber and styrofoam, shall not be accessible to children under three years of age. However, styrofoam plates and larger pieces of foam rubber may be used for supervised art activities and styrofoam plates may be used for food service. Jump ropes and rubber bands shall not be accessible to children under five years of age without adult supervision. Balloons shall be prohibited for children of all ages. - In space #2, plastic wipe packaging below five (5) feet accessible to children in white cabinet. The administrator moved the plastic wipe packaging’s up to the top of the cabinet. I recommend conducting a daily check routinely throughout the day to ensure that all plastic are inaccessible to children under three years old. Consultation: Today, we discussed the following: - Surfacing is compacted and needs to be raked or tilled. You stated that you have mulch on order and will arrive soon. - Supervision during nap time, ensure all children’s faces are viewable to ensure that a child is not choking or turning blue. When a child covers their head, you will need to remove the blanket to ensure that the child is breathing and not choking. 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. 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 Kimberly Morrow, Administrator, during the visit. An electronic copy of the visit summary was left with you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at karla.terry@dhhs.nc.gov or 828-200-9952, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 56 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Morrow, Administrator, 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-five percent (95%) as of 12/5/2023. The facility operates with a Three (3) Star Rated License, issued 6/15/2023 with restrictions as follows: first shift, and meets enhanced space. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/20/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/20/2023. The last fire inspection was approved on 10/9/2023. The last sanitation inspection was conducted on 4/26/2023 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency and Preparedness plan was current and updated on 11/13/2023. Upon arrival, I was greeted by the Administrator. In space #1, the group of infant children were engaged in two (2) children were engage in free play on the floor, one (1) child was engaged in play in the activity seat, and one (1) child was being bottle fed by the staff member. The staff member was meeting the individual needs of each child with routine diaper changing and bottle feeding. In space #2, the group of one year olds were engaged in free play with toy trucks, and blocks. After free play, the children engaged in singing with the staff member. In space #3, the group of two to three year old children were engaged in coloring Christmas pictures and one (1) child was engaged in a felt story with a staff member near the book center. During my observation, a staff member was observed drinking a hot tea out of a Starbucks cup in front of the children. We discussed the need for the drink to be consumed out of site of the children and stored when the children cannot access the drink. In space #4, the group of three to four year old children were engaged in free play with fireman dress up, unifex cubes, free art coloring, and books. In space #5, the group of four- to five-year-old children were engaged in cleaning up from free play and preparing for group time at the table. Once at group time, the staff member was reviewing the months of the year, days of the week. Lunch today consisted of chicken nuggets, corn, bread, peaches, and milk. All medications were monitored and meet requirements. The program does not provide transportation. During the visit, three (3) new staff and one (1) existing staff files and six (6) children’s files were monitored. Staff member ER completed Recognizing and Reporting Child Abuse and neglect training originally was completed on 5/22/2017 and was due to be completed by 5/22/2022 to meet health and safety training requirements every five (5) years. Currently the file did not have a current Recognizing and Reporting Child Abuse and Neglect training. Rated License Information: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021, and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Kids Kountry Klub House is in cohort two (2) with a preparation year beginning 7/1/2024 and ending 6/30/2025. Assessment year beginning 7/1/2025 and ending 6/30/2026. Kimberly Morrow, Administrator, has voluntarily elected to apply for a star rated license reassessment. Ms. Morrow has elected not to complete the Rated License Environmental Rating Scales. The rated license program standards will achieve two (2) points, education standards will be limited to four (4) points based on the education of the administrator, lead teachers, and teachers, and quality points will achieve one (1) point based on ten (10) years administrative experience. 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. Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground during the visit. 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. In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. .0901(i) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. .1103(b) Technical assistance was provided as follows: Item # 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground 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. -In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. -In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. -Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. 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 12/26/2023. 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: -Food and Beverages consumed in front of the children must meet the nutritional requirements. -Hazardous products with multiple warning labels must be stored in a key locking, combination, or magnetic locking cabinet. -Fire drill is due by 12/31/2023. -Emergency Drill is due by 12/31/2023. -Playground inspection is due by 12/31/2023. 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 .0304 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 56 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Morrow, Administrator, 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-five percent (95%) as of 12/5/2023. The facility operates with a Three (3) Star Rated License, issued 6/15/2023 with restrictions as follows: first shift, and meets enhanced space. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/20/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/20/2023. The last fire inspection was approved on 10/9/2023. The last sanitation inspection was conducted on 4/26/2023 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency and Preparedness plan was current and updated on 11/13/2023. Upon arrival, I was greeted by the Administrator. In space #1, the group of infant children were engaged in two (2) children were engage in free play on the floor, one (1) child was engaged in play in the activity seat, and one (1) child was being bottle fed by the staff member. The staff member was meeting the individual needs of each child with routine diaper changing and bottle feeding. In space #2, the group of one year olds were engaged in free play with toy trucks, and blocks. After free play, the children engaged in singing with the staff member. In space #3, the group of two to three year old children were engaged in coloring Christmas pictures and one (1) child was engaged in a felt story with a staff member near the book center. During my observation, a staff member was observed drinking a hot tea out of a Starbucks cup in front of the children. We discussed the need for the drink to be consumed out of site of the children and stored when the children cannot access the drink. In space #4, the group of three to four year old children were engaged in free play with fireman dress up, unifex cubes, free art coloring, and books. In space #5, the group of four- to five-year-old children were engaged in cleaning up from free play and preparing for group time at the table. Once at group time, the staff member was reviewing the months of the year, days of the week. Lunch today consisted of chicken nuggets, corn, bread, peaches, and milk. All medications were monitored and meet requirements. The program does not provide transportation. During the visit, three (3) new staff and one (1) existing staff files and six (6) children’s files were monitored. Staff member ER completed Recognizing and Reporting Child Abuse and neglect training originally was completed on 5/22/2017 and was due to be completed by 5/22/2022 to meet health and safety training requirements every five (5) years. Currently the file did not have a current Recognizing and Reporting Child Abuse and Neglect training. Rated License Information: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021, and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Kids Kountry Klub House is in cohort two (2) with a preparation year beginning 7/1/2024 and ending 6/30/2025. Assessment year beginning 7/1/2025 and ending 6/30/2026. Kimberly Morrow, Administrator, has voluntarily elected to apply for a star rated license reassessment. Ms. Morrow has elected not to complete the Rated License Environmental Rating Scales. The rated license program standards will achieve two (2) points, education standards will be limited to four (4) points based on the education of the administrator, lead teachers, and teachers, and quality points will achieve one (1) point based on ten (10) years administrative experience. 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. Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground during the visit. 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. In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. .0901(i) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. .1103(b) Technical assistance was provided as follows: Item # 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground 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. -In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. -In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. -Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. 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 12/26/2023. 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: -Food and Beverages consumed in front of the children must meet the nutritional requirements. -Hazardous products with multiple warning labels must be stored in a key locking, combination, or magnetic locking cabinet. -Fire drill is due by 12/31/2023. -Emergency Drill is due by 12/31/2023. -Playground inspection is due by 12/31/2023. 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 .0601 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 56 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Morrow, Administrator, 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-five percent (95%) as of 12/5/2023. The facility operates with a Three (3) Star Rated License, issued 6/15/2023 with restrictions as follows: first shift, and meets enhanced space. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/20/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/20/2023. The last fire inspection was approved on 10/9/2023. The last sanitation inspection was conducted on 4/26/2023 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency and Preparedness plan was current and updated on 11/13/2023. Upon arrival, I was greeted by the Administrator. In space #1, the group of infant children were engaged in two (2) children were engage in free play on the floor, one (1) child was engaged in play in the activity seat, and one (1) child was being bottle fed by the staff member. The staff member was meeting the individual needs of each child with routine diaper changing and bottle feeding. In space #2, the group of one year olds were engaged in free play with toy trucks, and blocks. After free play, the children engaged in singing with the staff member. In space #3, the group of two to three year old children were engaged in coloring Christmas pictures and one (1) child was engaged in a felt story with a staff member near the book center. During my observation, a staff member was observed drinking a hot tea out of a Starbucks cup in front of the children. We discussed the need for the drink to be consumed out of site of the children and stored when the children cannot access the drink. In space #4, the group of three to four year old children were engaged in free play with fireman dress up, unifex cubes, free art coloring, and books. In space #5, the group of four- to five-year-old children were engaged in cleaning up from free play and preparing for group time at the table. Once at group time, the staff member was reviewing the months of the year, days of the week. Lunch today consisted of chicken nuggets, corn, bread, peaches, and milk. All medications were monitored and meet requirements. The program does not provide transportation. During the visit, three (3) new staff and one (1) existing staff files and six (6) children’s files were monitored. Staff member ER completed Recognizing and Reporting Child Abuse and neglect training originally was completed on 5/22/2017 and was due to be completed by 5/22/2022 to meet health and safety training requirements every five (5) years. Currently the file did not have a current Recognizing and Reporting Child Abuse and Neglect training. Rated License Information: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021, and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Kids Kountry Klub House is in cohort two (2) with a preparation year beginning 7/1/2024 and ending 6/30/2025. Assessment year beginning 7/1/2025 and ending 6/30/2026. Kimberly Morrow, Administrator, has voluntarily elected to apply for a star rated license reassessment. Ms. Morrow has elected not to complete the Rated License Environmental Rating Scales. The rated license program standards will achieve two (2) points, education standards will be limited to four (4) points based on the education of the administrator, lead teachers, and teachers, and quality points will achieve one (1) point based on ten (10) years administrative experience. 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. Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground during the visit. 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. In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. .0901(i) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. .1103(b) Technical assistance was provided as follows: Item # 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground 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. -In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. -In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. -Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. 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 12/26/2023. 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: -Food and Beverages consumed in front of the children must meet the nutritional requirements. -Hazardous products with multiple warning labels must be stored in a key locking, combination, or magnetic locking cabinet. -Fire drill is due by 12/31/2023. -Emergency Drill is due by 12/31/2023. -Playground inspection is due by 12/31/2023. 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 .0901 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 56 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Morrow, Administrator, 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-five percent (95%) as of 12/5/2023. The facility operates with a Three (3) Star Rated License, issued 6/15/2023 with restrictions as follows: first shift, and meets enhanced space. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/20/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/20/2023. The last fire inspection was approved on 10/9/2023. The last sanitation inspection was conducted on 4/26/2023 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency and Preparedness plan was current and updated on 11/13/2023. Upon arrival, I was greeted by the Administrator. In space #1, the group of infant children were engaged in two (2) children were engage in free play on the floor, one (1) child was engaged in play in the activity seat, and one (1) child was being bottle fed by the staff member. The staff member was meeting the individual needs of each child with routine diaper changing and bottle feeding. In space #2, the group of one year olds were engaged in free play with toy trucks, and blocks. After free play, the children engaged in singing with the staff member. In space #3, the group of two to three year old children were engaged in coloring Christmas pictures and one (1) child was engaged in a felt story with a staff member near the book center. During my observation, a staff member was observed drinking a hot tea out of a Starbucks cup in front of the children. We discussed the need for the drink to be consumed out of site of the children and stored when the children cannot access the drink. In space #4, the group of three to four year old children were engaged in free play with fireman dress up, unifex cubes, free art coloring, and books. In space #5, the group of four- to five-year-old children were engaged in cleaning up from free play and preparing for group time at the table. Once at group time, the staff member was reviewing the months of the year, days of the week. Lunch today consisted of chicken nuggets, corn, bread, peaches, and milk. All medications were monitored and meet requirements. The program does not provide transportation. During the visit, three (3) new staff and one (1) existing staff files and six (6) children’s files were monitored. Staff member ER completed Recognizing and Reporting Child Abuse and neglect training originally was completed on 5/22/2017 and was due to be completed by 5/22/2022 to meet health and safety training requirements every five (5) years. Currently the file did not have a current Recognizing and Reporting Child Abuse and Neglect training. Rated License Information: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021, and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Kids Kountry Klub House is in cohort two (2) with a preparation year beginning 7/1/2024 and ending 6/30/2025. Assessment year beginning 7/1/2025 and ending 6/30/2026. Kimberly Morrow, Administrator, has voluntarily elected to apply for a star rated license reassessment. Ms. Morrow has elected not to complete the Rated License Environmental Rating Scales. The rated license program standards will achieve two (2) points, education standards will be limited to four (4) points based on the education of the administrator, lead teachers, and teachers, and quality points will achieve one (1) point based on ten (10) years administrative experience. 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. Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground during the visit. 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. In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. .0901(i) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. .1103(b) Technical assistance was provided as follows: Item # 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground 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. -In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. -In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. -Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. 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 12/26/2023. 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: -Food and Beverages consumed in front of the children must meet the nutritional requirements. -Hazardous products with multiple warning labels must be stored in a key locking, combination, or magnetic locking cabinet. -Fire drill is due by 12/31/2023. -Emergency Drill is due by 12/31/2023. -Playground inspection is due by 12/31/2023. 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 56 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Morrow, Administrator, 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-five percent (95%) as of 12/5/2023. The facility operates with a Three (3) Star Rated License, issued 6/15/2023 with restrictions as follows: first shift, and meets enhanced space. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/20/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/20/2023. The last fire inspection was approved on 10/9/2023. The last sanitation inspection was conducted on 4/26/2023 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency and Preparedness plan was current and updated on 11/13/2023. Upon arrival, I was greeted by the Administrator. In space #1, the group of infant children were engaged in two (2) children were engage in free play on the floor, one (1) child was engaged in play in the activity seat, and one (1) child was being bottle fed by the staff member. The staff member was meeting the individual needs of each child with routine diaper changing and bottle feeding. In space #2, the group of one year olds were engaged in free play with toy trucks, and blocks. After free play, the children engaged in singing with the staff member. In space #3, the group of two to three year old children were engaged in coloring Christmas pictures and one (1) child was engaged in a felt story with a staff member near the book center. During my observation, a staff member was observed drinking a hot tea out of a Starbucks cup in front of the children. We discussed the need for the drink to be consumed out of site of the children and stored when the children cannot access the drink. In space #4, the group of three to four year old children were engaged in free play with fireman dress up, unifex cubes, free art coloring, and books. In space #5, the group of four- to five-year-old children were engaged in cleaning up from free play and preparing for group time at the table. Once at group time, the staff member was reviewing the months of the year, days of the week. Lunch today consisted of chicken nuggets, corn, bread, peaches, and milk. All medications were monitored and meet requirements. The program does not provide transportation. During the visit, three (3) new staff and one (1) existing staff files and six (6) children’s files were monitored. Staff member ER completed Recognizing and Reporting Child Abuse and neglect training originally was completed on 5/22/2017 and was due to be completed by 5/22/2022 to meet health and safety training requirements every five (5) years. Currently the file did not have a current Recognizing and Reporting Child Abuse and Neglect training. Rated License Information: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021, and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Kids Kountry Klub House is in cohort two (2) with a preparation year beginning 7/1/2024 and ending 6/30/2025. Assessment year beginning 7/1/2025 and ending 6/30/2026. Kimberly Morrow, Administrator, has voluntarily elected to apply for a star rated license reassessment. Ms. Morrow has elected not to complete the Rated License Environmental Rating Scales. The rated license program standards will achieve two (2) points, education standards will be limited to four (4) points based on the education of the administrator, lead teachers, and teachers, and quality points will achieve one (1) point based on ten (10) years administrative experience. 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. Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground during the visit. 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. In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. .0901(i) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. .1103(b) Technical assistance was provided as follows: Item # 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground 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. -In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. -In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. -Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. 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 12/26/2023. 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: -Food and Beverages consumed in front of the children must meet the nutritional requirements. -Hazardous products with multiple warning labels must be stored in a key locking, combination, or magnetic locking cabinet. -Fire drill is due by 12/31/2023. -Emergency Drill is due by 12/31/2023. -Playground inspection is due by 12/31/2023. 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 .1103 · Violation

Name of Operation: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 56 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Morrow, Administrator, 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-five percent (95%) as of 12/5/2023. The facility operates with a Three (3) Star Rated License, issued 6/15/2023 with restrictions as follows: first shift, and meets enhanced space. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/20/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/20/2023. The last fire inspection was approved on 10/9/2023. The last sanitation inspection was conducted on 4/26/2023 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency and Preparedness plan was current and updated on 11/13/2023. Upon arrival, I was greeted by the Administrator. In space #1, the group of infant children were engaged in two (2) children were engage in free play on the floor, one (1) child was engaged in play in the activity seat, and one (1) child was being bottle fed by the staff member. The staff member was meeting the individual needs of each child with routine diaper changing and bottle feeding. In space #2, the group of one year olds were engaged in free play with toy trucks, and blocks. After free play, the children engaged in singing with the staff member. In space #3, the group of two to three year old children were engaged in coloring Christmas pictures and one (1) child was engaged in a felt story with a staff member near the book center. During my observation, a staff member was observed drinking a hot tea out of a Starbucks cup in front of the children. We discussed the need for the drink to be consumed out of site of the children and stored when the children cannot access the drink. In space #4, the group of three to four year old children were engaged in free play with fireman dress up, unifex cubes, free art coloring, and books. In space #5, the group of four- to five-year-old children were engaged in cleaning up from free play and preparing for group time at the table. Once at group time, the staff member was reviewing the months of the year, days of the week. Lunch today consisted of chicken nuggets, corn, bread, peaches, and milk. All medications were monitored and meet requirements. The program does not provide transportation. During the visit, three (3) new staff and one (1) existing staff files and six (6) children’s files were monitored. Staff member ER completed Recognizing and Reporting Child Abuse and neglect training originally was completed on 5/22/2017 and was due to be completed by 5/22/2022 to meet health and safety training requirements every five (5) years. Currently the file did not have a current Recognizing and Reporting Child Abuse and Neglect training. Rated License Information: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021, and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Kids Kountry Klub House is in cohort two (2) with a preparation year beginning 7/1/2024 and ending 6/30/2025. Assessment year beginning 7/1/2025 and ending 6/30/2026. Kimberly Morrow, Administrator, has voluntarily elected to apply for a star rated license reassessment. Ms. Morrow has elected not to complete the Rated License Environmental Rating Scales. The rated license program standards will achieve two (2) points, education standards will be limited to four (4) points based on the education of the administrator, lead teachers, and teachers, and quality points will achieve one (1) point based on ten (10) years administrative experience. 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. Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground during the visit. 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. In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. .0901(i) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. .1103(b) Technical assistance was provided as follows: Item # 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground 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. -In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. -In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. -Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. 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 12/26/2023. 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: -Food and Beverages consumed in front of the children must meet the nutritional requirements. -Hazardous products with multiple warning labels must be stored in a key locking, combination, or magnetic locking cabinet. -Fire drill is due by 12/31/2023. -Emergency Drill is due by 12/31/2023. -Playground inspection is due by 12/31/2023. 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 56 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Morrow, Administrator, 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-five percent (95%) as of 12/5/2023. The facility operates with a Three (3) Star Rated License, issued 6/15/2023 with restrictions as follows: first shift, and meets enhanced space. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/20/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/20/2023. The last fire inspection was approved on 10/9/2023. The last sanitation inspection was conducted on 4/26/2023 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency and Preparedness plan was current and updated on 11/13/2023. Upon arrival, I was greeted by the Administrator. In space #1, the group of infant children were engaged in two (2) children were engage in free play on the floor, one (1) child was engaged in play in the activity seat, and one (1) child was being bottle fed by the staff member. The staff member was meeting the individual needs of each child with routine diaper changing and bottle feeding. In space #2, the group of one year olds were engaged in free play with toy trucks, and blocks. After free play, the children engaged in singing with the staff member. In space #3, the group of two to three year old children were engaged in coloring Christmas pictures and one (1) child was engaged in a felt story with a staff member near the book center. During my observation, a staff member was observed drinking a hot tea out of a Starbucks cup in front of the children. We discussed the need for the drink to be consumed out of site of the children and stored when the children cannot access the drink. In space #4, the group of three to four year old children were engaged in free play with fireman dress up, unifex cubes, free art coloring, and books. In space #5, the group of four- to five-year-old children were engaged in cleaning up from free play and preparing for group time at the table. Once at group time, the staff member was reviewing the months of the year, days of the week. Lunch today consisted of chicken nuggets, corn, bread, peaches, and milk. All medications were monitored and meet requirements. The program does not provide transportation. During the visit, three (3) new staff and one (1) existing staff files and six (6) children’s files were monitored. Staff member ER completed Recognizing and Reporting Child Abuse and neglect training originally was completed on 5/22/2017 and was due to be completed by 5/22/2022 to meet health and safety training requirements every five (5) years. Currently the file did not have a current Recognizing and Reporting Child Abuse and Neglect training. Rated License Information: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021, and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Kids Kountry Klub House is in cohort two (2) with a preparation year beginning 7/1/2024 and ending 6/30/2025. Assessment year beginning 7/1/2025 and ending 6/30/2026. Kimberly Morrow, Administrator, has voluntarily elected to apply for a star rated license reassessment. Ms. Morrow has elected not to complete the Rated License Environmental Rating Scales. The rated license program standards will achieve two (2) points, education standards will be limited to four (4) points based on the education of the administrator, lead teachers, and teachers, and quality points will achieve one (1) point based on ten (10) years administrative experience. 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. Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground during the visit. 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. In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. .0901(i) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. .1103(b) Technical assistance was provided as follows: Item # 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground 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. -In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. -In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. -Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. 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 12/26/2023. 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: -Food and Beverages consumed in front of the children must meet the nutritional requirements. -Hazardous products with multiple warning labels must be stored in a key locking, combination, or magnetic locking cabinet. -Fire drill is due by 12/31/2023. -Emergency Drill is due by 12/31/2023. -Playground inspection is due by 12/31/2023. 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 56 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Morrow, Administrator, 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-five percent (95%) as of 12/5/2023. The facility operates with a Three (3) Star Rated License, issued 6/15/2023 with restrictions as follows: first shift, and meets enhanced space. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/20/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/20/2023. The last fire inspection was approved on 10/9/2023. The last sanitation inspection was conducted on 4/26/2023 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency and Preparedness plan was current and updated on 11/13/2023. Upon arrival, I was greeted by the Administrator. In space #1, the group of infant children were engaged in two (2) children were engage in free play on the floor, one (1) child was engaged in play in the activity seat, and one (1) child was being bottle fed by the staff member. The staff member was meeting the individual needs of each child with routine diaper changing and bottle feeding. In space #2, the group of one year olds were engaged in free play with toy trucks, and blocks. After free play, the children engaged in singing with the staff member. In space #3, the group of two to three year old children were engaged in coloring Christmas pictures and one (1) child was engaged in a felt story with a staff member near the book center. During my observation, a staff member was observed drinking a hot tea out of a Starbucks cup in front of the children. We discussed the need for the drink to be consumed out of site of the children and stored when the children cannot access the drink. In space #4, the group of three to four year old children were engaged in free play with fireman dress up, unifex cubes, free art coloring, and books. In space #5, the group of four- to five-year-old children were engaged in cleaning up from free play and preparing for group time at the table. Once at group time, the staff member was reviewing the months of the year, days of the week. Lunch today consisted of chicken nuggets, corn, bread, peaches, and milk. All medications were monitored and meet requirements. The program does not provide transportation. During the visit, three (3) new staff and one (1) existing staff files and six (6) children’s files were monitored. Staff member ER completed Recognizing and Reporting Child Abuse and neglect training originally was completed on 5/22/2017 and was due to be completed by 5/22/2022 to meet health and safety training requirements every five (5) years. Currently the file did not have a current Recognizing and Reporting Child Abuse and Neglect training. Rated License Information: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021, and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Kids Kountry Klub House is in cohort two (2) with a preparation year beginning 7/1/2024 and ending 6/30/2025. Assessment year beginning 7/1/2025 and ending 6/30/2026. Kimberly Morrow, Administrator, has voluntarily elected to apply for a star rated license reassessment. Ms. Morrow has elected not to complete the Rated License Environmental Rating Scales. The rated license program standards will achieve two (2) points, education standards will be limited to four (4) points based on the education of the administrator, lead teachers, and teachers, and quality points will achieve one (1) point based on ten (10) years administrative experience. 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. Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground during the visit. 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. In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. .0901(i) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. .1103(b) Technical assistance was provided as follows: Item # 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground 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. -In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. -In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. -Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. 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 12/26/2023. 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: -Food and Beverages consumed in front of the children must meet the nutritional requirements. -Hazardous products with multiple warning labels must be stored in a key locking, combination, or magnetic locking cabinet. -Fire drill is due by 12/31/2023. -Emergency Drill is due by 12/31/2023. -Playground inspection is due by 12/31/2023. 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: KIDS KOUNTRY KLUB HOUSE Facility ID: 11000421 Consultant: KARLA TERRY Operation Type: Center Case Number: Visit Date: 12/12/2023 Number Present: 56 Completed Date: 12/12/2023 Age: From 0 To 5 Total Minutes: 195 Time In: 09:45 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Karla Terry, Child Care Consultant and also signed by Kimberly Morrow, Administrator, during the visit. An electronic signed copy of the visit summary was electronically emailed to you. Kimberly Morrow, Administrator, 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-five percent (95%) as of 12/5/2023. The facility operates with a Three (3) Star Rated License, issued 6/15/2023 with restrictions as follows: first shift, and meets enhanced space. The last annual compliance visit was conducted on 12/15/2023. The last fire drill was practiced on 11/20/2023. The last lockdown drill was practiced on 9/15/2023. The last playground inspection was documented on 11/20/2023. The last fire inspection was approved on 10/9/2023. The last sanitation inspection was conducted on 4/26/2023 with eleven (11) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency and Preparedness plan was current and updated on 11/13/2023. Upon arrival, I was greeted by the Administrator. In space #1, the group of infant children were engaged in two (2) children were engage in free play on the floor, one (1) child was engaged in play in the activity seat, and one (1) child was being bottle fed by the staff member. The staff member was meeting the individual needs of each child with routine diaper changing and bottle feeding. In space #2, the group of one year olds were engaged in free play with toy trucks, and blocks. After free play, the children engaged in singing with the staff member. In space #3, the group of two to three year old children were engaged in coloring Christmas pictures and one (1) child was engaged in a felt story with a staff member near the book center. During my observation, a staff member was observed drinking a hot tea out of a Starbucks cup in front of the children. We discussed the need for the drink to be consumed out of site of the children and stored when the children cannot access the drink. In space #4, the group of three to four year old children were engaged in free play with fireman dress up, unifex cubes, free art coloring, and books. In space #5, the group of four- to five-year-old children were engaged in cleaning up from free play and preparing for group time at the table. Once at group time, the staff member was reviewing the months of the year, days of the week. Lunch today consisted of chicken nuggets, corn, bread, peaches, and milk. All medications were monitored and meet requirements. The program does not provide transportation. During the visit, three (3) new staff and one (1) existing staff files and six (6) children’s files were monitored. Staff member ER completed Recognizing and Reporting Child Abuse and neglect training originally was completed on 5/22/2017 and was due to be completed by 5/22/2022 to meet health and safety training requirements every five (5) years. Currently the file did not have a current Recognizing and Reporting Child Abuse and Neglect training. Rated License Information: Currently, the facility is under Senate Bill 570 Hold Harmless for all facilities that hold a rated license. The bill was enacted on August 30, 2021, and expired on June 30, 2023. Senate Bill 570 Hold Harmless was extended and signed into law on Monday June 12th, 2023. The bill allows facilities to remain at their current star level without a reassessment until June 30, 2024, and when reassessed it reduces the education evaluation requirements for lead teachers from seventy-five percent (75%) to fifty percent (50%) until June of 2026. To prepare for the reassessment process, the Division of Child Development and Early Education has developed a cohort system. There are three (3) cohorts, and each includes a preparation year and a reassessment year. Kids Kountry Klub House is in cohort two (2) with a preparation year beginning 7/1/2024 and ending 6/30/2025. Assessment year beginning 7/1/2025 and ending 6/30/2026. Kimberly Morrow, Administrator, has voluntarily elected to apply for a star rated license reassessment. Ms. Morrow has elected not to complete the Rated License Environmental Rating Scales. The rated license program standards will achieve two (2) points, education standards will be limited to four (4) points based on the education of the administrator, lead teachers, and teachers, and quality points will achieve one (1) point based on ten (10) years administrative experience. 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. Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground during the visit. 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. In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. .2820(b) 1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. .0901(i) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. .1103(b) Technical assistance was provided as follows: Item # 807 A safe indoor and outdoor environment was not provided for the children. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) A safe indoor and outdoor environment shall be provided for the children in care in accordance with rules in this Section. -Outside on the playground, the metal anchors for the jeep were exposed and the felt protective barriers was exposed causing a potential tripping hazard. The administrator cut the felt flush with the ground 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. -In space #2, two (2) bottles of liquid white out was located on the top shelf a cabinet was locked with a sliding child safety lock. The administrator moved the two (2) bottles to a key locking cabinet during the visit. Item #1792 Staff did not model appropriate eating behaviors by consuming food or beverages that meet the nutritional requirements specified in the Meal Patterns for Children in Child Care Programs in the presence of children in care. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. -In space #3, the staff member was observed consuming hot tea in a Starbucks at the table with the children. During the visit, we discussed that consumption of food and beverages that do not meet the nutritional requirements must be consumed out of site of the children and stored where children cannot access the beverage. The staff member moved the drink to the kitchen during the visit. Item #1899 Health and safety training topics were not included as part of on- going training within five years of completing the previous health and safety training topics. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. -Staff member ER completed Recognizing and Responding to child abuse and neglect on 5/22/2017 and the training was due to be completed on 5/22/2022. The staff members file did not contain a current completion certificate for Recognizing and Responding to child abuse and neglect. 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 12/26/2023. 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 by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Today, we discussed the following: -Food and Beverages consumed in front of the children must meet the nutritional requirements. -Hazardous products with multiple warning labels must be stored in a key locking, combination, or magnetic locking cabinet. -Fire drill is due by 12/31/2023. -Emergency Drill is due by 12/31/2023. -Playground inspection is due by 12/31/2023. 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