A.C. Reynolds High School Learning Lab

10A NCAC 09 .0304 · Violation

Name of Operation: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 10 Completed Date: 3/18/2025 Age: From 3 To 5 Total Minutes: 210 Time In: 09:30 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 a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Betsie Stockslager, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Stockslager was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 3/17/25. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 4/15/24. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 3/6/25. The last playground inspection was documented on 3/7/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 2/14/25 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by Cynthia Winters, Teacher, and Alison Heymann, Lead Teacher. Children were engaged in independent free play. Children solved age appropriate puzzles, traced stencils with markers, stamped various shapes with stamps and ink pads, put on various articles of clothing in dramatic play, and pretended to care for animals. During large group, children participated in a read aloud, finger play and literacy awareness activities. Children washed hands and transitioned to lunch. Lunch today consisted of chicken, noodles, broccoli, bananas and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident report for one (1) child was maintained on a clipboard with the incident log. .0802 (e) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for one (1) child was not updated annually. .0802(c) Technical assistance was provided as follows: Item #852: The incident report for the one (1) child was moved to the child’s file during the visit today. This is corrected. Moving forward, plan to place the incident report in the child’s file after it is signed by the parent and logged on the incident log. Item #1311 Emergency medical care information must be updated for each child annually. We discussed that this can be done digitally through iCare. The parent of the one (1) child was contacted during the visit today to sign and updated enrollment form that contains all of the information needed for safe emergency medical care. Moving forward, plan to have all families sign an updated enrollment form at the start of each school year, including returning children. The following item was not cited as a violation during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may occur in the future if compliance is not met: Item #428 Activity Plan Posted: According to rule .0508(a) activity plans must be posted for parent reference. We discussed printing challenges at the elementary school. We discussed the activity plans can be sent via iCare to ensure parents are aware of the activity plan. 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 4/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Rated License Assessment: You submitted your application for re-assessment on 3/14/25. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a 4 year degree in Early Childhood/Child Development related field, has five (5) years of experience earning seven (7) points. The facility has one (1) lead teacher. The lead teacher holds a 4 year degree in Elementary Education and has twenty (20) years of experience earning seven (7) points. The facility has one (1) teacher. The teacher has 4 year degree (other), NCECC Equivalency and seven (7) semester hours in Early Childhood/ Child Development with eight (8) years of experience earning seven (7) points. The facility earns seven (7) education points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a weekly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Program Standards – The program currently meets enhanced space and reduced ratios. An Outreach Assessment for the ECERS-3 was conducted on 3/6/25 with an overall score of 5.12. The Application for Reassessment for a Rated License was received on 3/14/25. The Rated License Assessment Request Review form was completed during the visit today. An ECERS-3 assessment will be requested. If any areas score 2 points or lower, an Environment Rating Scale visit will be required. The scores from the ECERS-3 assessment will be used to calculate the program points. We discussed some areas that could be improved from the Outreach assessment: -Item 6, 7 and 28: If weather permits, plan to go outside, as scheduled. Alternatively, plan to provide indoor gross motor activities that stimulate the seven (7) gross motor areas as listed on page 28 of the ECERS-3 book. -Item 22: Plan to open the sand or water table during morning center play. -Item 24: Plan to incorporate one more math example in the large group setting. We discussed keeping the activity of counting children who are here and children who are present at the start of large group, and then incorporating a counting activity as you dismiss children to centers. For example, as you dismiss children by the color of their shoes, count the number of children who are left after each color. The facility will need to achieve at least five (5) program points to maintain the Five (5) Star License. We discussed the facility will need to achieve a score of at least 3.3 on the ECERS-3. QRIS Modernization: The QRIS (or Star Rated License) system is changing. The public comment period is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the proposed changes. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov Additionally, there is an in-person public comment opportunity on 3/26/25 in Raleigh. Please see below: Public Hearing: Date: March 26, 2025 Time: 1:15 p.m. Location: 333 Six Forks Road, Room 165, Raleigh, NC 27609 and By WebEx Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. The facility has completed lead in water testing. Additional action is required to complete lead based paint and asbestos testing. The facility is working with the public school maintenance department to complete needed testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. WORKS: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 10 Completed Date: 3/18/2025 Age: From 3 To 5 Total Minutes: 210 Time In: 09:30 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 a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Betsie Stockslager, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Stockslager was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 3/17/25. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 4/15/24. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 3/6/25. The last playground inspection was documented on 3/7/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 2/14/25 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by Cynthia Winters, Teacher, and Alison Heymann, Lead Teacher. Children were engaged in independent free play. Children solved age appropriate puzzles, traced stencils with markers, stamped various shapes with stamps and ink pads, put on various articles of clothing in dramatic play, and pretended to care for animals. During large group, children participated in a read aloud, finger play and literacy awareness activities. Children washed hands and transitioned to lunch. Lunch today consisted of chicken, noodles, broccoli, bananas and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident report for one (1) child was maintained on a clipboard with the incident log. .0802 (e) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for one (1) child was not updated annually. .0802(c) Technical assistance was provided as follows: Item #852: The incident report for the one (1) child was moved to the child’s file during the visit today. This is corrected. Moving forward, plan to place the incident report in the child’s file after it is signed by the parent and logged on the incident log. Item #1311 Emergency medical care information must be updated for each child annually. We discussed that this can be done digitally through iCare. The parent of the one (1) child was contacted during the visit today to sign and updated enrollment form that contains all of the information needed for safe emergency medical care. Moving forward, plan to have all families sign an updated enrollment form at the start of each school year, including returning children. The following item was not cited as a violation during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may occur in the future if compliance is not met: Item #428 Activity Plan Posted: According to rule .0508(a) activity plans must be posted for parent reference. We discussed printing challenges at the elementary school. We discussed the activity plans can be sent via iCare to ensure parents are aware of the activity plan. 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 4/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Rated License Assessment: You submitted your application for re-assessment on 3/14/25. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a 4 year degree in Early Childhood/Child Development related field, has five (5) years of experience earning seven (7) points. The facility has one (1) lead teacher. The lead teacher holds a 4 year degree in Elementary Education and has twenty (20) years of experience earning seven (7) points. The facility has one (1) teacher. The teacher has 4 year degree (other), NCECC Equivalency and seven (7) semester hours in Early Childhood/ Child Development with eight (8) years of experience earning seven (7) points. The facility earns seven (7) education points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a weekly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Program Standards – The program currently meets enhanced space and reduced ratios. An Outreach Assessment for the ECERS-3 was conducted on 3/6/25 with an overall score of 5.12. The Application for Reassessment for a Rated License was received on 3/14/25. The Rated License Assessment Request Review form was completed during the visit today. An ECERS-3 assessment will be requested. If any areas score 2 points or lower, an Environment Rating Scale visit will be required. The scores from the ECERS-3 assessment will be used to calculate the program points. We discussed some areas that could be improved from the Outreach assessment: -Item 6, 7 and 28: If weather permits, plan to go outside, as scheduled. Alternatively, plan to provide indoor gross motor activities that stimulate the seven (7) gross motor areas as listed on page 28 of the ECERS-3 book. -Item 22: Plan to open the sand or water table during morning center play. -Item 24: Plan to incorporate one more math example in the large group setting. We discussed keeping the activity of counting children who are here and children who are present at the start of large group, and then incorporating a counting activity as you dismiss children to centers. For example, as you dismiss children by the color of their shoes, count the number of children who are left after each color. The facility will need to achieve at least five (5) program points to maintain the Five (5) Star License. We discussed the facility will need to achieve a score of at least 3.3 on the ECERS-3. QRIS Modernization: The QRIS (or Star Rated License) system is changing. The public comment period is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the proposed changes. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov Additionally, there is an in-person public comment opportunity on 3/26/25 in Raleigh. Please see below: Public Hearing: Date: March 26, 2025 Time: 1:15 p.m. Location: 333 Six Forks Road, Room 165, Raleigh, NC 27609 and By WebEx Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. The facility has completed lead in water testing. Additional action is required to complete lead based paint and asbestos testing. The facility is working with the public school maintenance department to complete needed testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. WORKS: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 10 Completed Date: 3/18/2025 Age: From 3 To 5 Total Minutes: 210 Time In: 09:30 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 a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Betsie Stockslager, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Stockslager was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 3/17/25. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 4/15/24. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 3/6/25. The last playground inspection was documented on 3/7/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 2/14/25 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by Cynthia Winters, Teacher, and Alison Heymann, Lead Teacher. Children were engaged in independent free play. Children solved age appropriate puzzles, traced stencils with markers, stamped various shapes with stamps and ink pads, put on various articles of clothing in dramatic play, and pretended to care for animals. During large group, children participated in a read aloud, finger play and literacy awareness activities. Children washed hands and transitioned to lunch. Lunch today consisted of chicken, noodles, broccoli, bananas and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident report for one (1) child was maintained on a clipboard with the incident log. .0802 (e) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for one (1) child was not updated annually. .0802(c) Technical assistance was provided as follows: Item #852: The incident report for the one (1) child was moved to the child’s file during the visit today. This is corrected. Moving forward, plan to place the incident report in the child’s file after it is signed by the parent and logged on the incident log. Item #1311 Emergency medical care information must be updated for each child annually. We discussed that this can be done digitally through iCare. The parent of the one (1) child was contacted during the visit today to sign and updated enrollment form that contains all of the information needed for safe emergency medical care. Moving forward, plan to have all families sign an updated enrollment form at the start of each school year, including returning children. The following item was not cited as a violation during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may occur in the future if compliance is not met: Item #428 Activity Plan Posted: According to rule .0508(a) activity plans must be posted for parent reference. We discussed printing challenges at the elementary school. We discussed the activity plans can be sent via iCare to ensure parents are aware of the activity plan. 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 4/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Rated License Assessment: You submitted your application for re-assessment on 3/14/25. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a 4 year degree in Early Childhood/Child Development related field, has five (5) years of experience earning seven (7) points. The facility has one (1) lead teacher. The lead teacher holds a 4 year degree in Elementary Education and has twenty (20) years of experience earning seven (7) points. The facility has one (1) teacher. The teacher has 4 year degree (other), NCECC Equivalency and seven (7) semester hours in Early Childhood/ Child Development with eight (8) years of experience earning seven (7) points. The facility earns seven (7) education points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a weekly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Program Standards – The program currently meets enhanced space and reduced ratios. An Outreach Assessment for the ECERS-3 was conducted on 3/6/25 with an overall score of 5.12. The Application for Reassessment for a Rated License was received on 3/14/25. The Rated License Assessment Request Review form was completed during the visit today. An ECERS-3 assessment will be requested. If any areas score 2 points or lower, an Environment Rating Scale visit will be required. The scores from the ECERS-3 assessment will be used to calculate the program points. We discussed some areas that could be improved from the Outreach assessment: -Item 6, 7 and 28: If weather permits, plan to go outside, as scheduled. Alternatively, plan to provide indoor gross motor activities that stimulate the seven (7) gross motor areas as listed on page 28 of the ECERS-3 book. -Item 22: Plan to open the sand or water table during morning center play. -Item 24: Plan to incorporate one more math example in the large group setting. We discussed keeping the activity of counting children who are here and children who are present at the start of large group, and then incorporating a counting activity as you dismiss children to centers. For example, as you dismiss children by the color of their shoes, count the number of children who are left after each color. The facility will need to achieve at least five (5) program points to maintain the Five (5) Star License. We discussed the facility will need to achieve a score of at least 3.3 on the ECERS-3. QRIS Modernization: The QRIS (or Star Rated License) system is changing. The public comment period is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the proposed changes. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov Additionally, there is an in-person public comment opportunity on 3/26/25 in Raleigh. Please see below: Public Hearing: Date: March 26, 2025 Time: 1:15 p.m. Location: 333 Six Forks Road, Room 165, Raleigh, NC 27609 and By WebEx Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. The facility has completed lead in water testing. Additional action is required to complete lead based paint and asbestos testing. The facility is working with the public school maintenance department to complete needed testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. WORKS: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 10 Completed Date: 3/18/2025 Age: From 3 To 5 Total Minutes: 210 Time In: 09:30 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 a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Betsie Stockslager, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Stockslager was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 3/17/25. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 4/15/24. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 3/6/25. The last playground inspection was documented on 3/7/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 2/14/25 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by Cynthia Winters, Teacher, and Alison Heymann, Lead Teacher. Children were engaged in independent free play. Children solved age appropriate puzzles, traced stencils with markers, stamped various shapes with stamps and ink pads, put on various articles of clothing in dramatic play, and pretended to care for animals. During large group, children participated in a read aloud, finger play and literacy awareness activities. Children washed hands and transitioned to lunch. Lunch today consisted of chicken, noodles, broccoli, bananas and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident report for one (1) child was maintained on a clipboard with the incident log. .0802 (e) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for one (1) child was not updated annually. .0802(c) Technical assistance was provided as follows: Item #852: The incident report for the one (1) child was moved to the child’s file during the visit today. This is corrected. Moving forward, plan to place the incident report in the child’s file after it is signed by the parent and logged on the incident log. Item #1311 Emergency medical care information must be updated for each child annually. We discussed that this can be done digitally through iCare. The parent of the one (1) child was contacted during the visit today to sign and updated enrollment form that contains all of the information needed for safe emergency medical care. Moving forward, plan to have all families sign an updated enrollment form at the start of each school year, including returning children. The following item was not cited as a violation during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may occur in the future if compliance is not met: Item #428 Activity Plan Posted: According to rule .0508(a) activity plans must be posted for parent reference. We discussed printing challenges at the elementary school. We discussed the activity plans can be sent via iCare to ensure parents are aware of the activity plan. 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 4/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Rated License Assessment: You submitted your application for re-assessment on 3/14/25. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a 4 year degree in Early Childhood/Child Development related field, has five (5) years of experience earning seven (7) points. The facility has one (1) lead teacher. The lead teacher holds a 4 year degree in Elementary Education and has twenty (20) years of experience earning seven (7) points. The facility has one (1) teacher. The teacher has 4 year degree (other), NCECC Equivalency and seven (7) semester hours in Early Childhood/ Child Development with eight (8) years of experience earning seven (7) points. The facility earns seven (7) education points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a weekly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Program Standards – The program currently meets enhanced space and reduced ratios. An Outreach Assessment for the ECERS-3 was conducted on 3/6/25 with an overall score of 5.12. The Application for Reassessment for a Rated License was received on 3/14/25. The Rated License Assessment Request Review form was completed during the visit today. An ECERS-3 assessment will be requested. If any areas score 2 points or lower, an Environment Rating Scale visit will be required. The scores from the ECERS-3 assessment will be used to calculate the program points. We discussed some areas that could be improved from the Outreach assessment: -Item 6, 7 and 28: If weather permits, plan to go outside, as scheduled. Alternatively, plan to provide indoor gross motor activities that stimulate the seven (7) gross motor areas as listed on page 28 of the ECERS-3 book. -Item 22: Plan to open the sand or water table during morning center play. -Item 24: Plan to incorporate one more math example in the large group setting. We discussed keeping the activity of counting children who are here and children who are present at the start of large group, and then incorporating a counting activity as you dismiss children to centers. For example, as you dismiss children by the color of their shoes, count the number of children who are left after each color. The facility will need to achieve at least five (5) program points to maintain the Five (5) Star License. We discussed the facility will need to achieve a score of at least 3.3 on the ECERS-3. QRIS Modernization: The QRIS (or Star Rated License) system is changing. The public comment period is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the proposed changes. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov Additionally, there is an in-person public comment opportunity on 3/26/25 in Raleigh. Please see below: Public Hearing: Date: March 26, 2025 Time: 1:15 p.m. Location: 333 Six Forks Road, Room 165, Raleigh, NC 27609 and By WebEx Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. The facility has completed lead in water testing. Additional action is required to complete lead based paint and asbestos testing. The facility is working with the public school maintenance department to complete needed testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. WORKS: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/18/2025 Number Present: 10 Completed Date: 3/18/2025 Age: From 3 To 5 Total Minutes: 210 Time In: 09:30 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 a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Betsie Stockslager, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Stockslager was present to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 3/17/25. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last annual compliance visit was conducted on 4/15/24. The last fire drill was practiced on 2/24/25. The last lockdown drill was practiced on 3/6/25. The last playground inspection was documented on 3/7/25. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 2/14/25 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The program does not provide transportation. Upon arrival, I was greeted by Cynthia Winters, Teacher, and Alison Heymann, Lead Teacher. Children were engaged in independent free play. Children solved age appropriate puzzles, traced stencils with markers, stamped various shapes with stamps and ink pads, put on various articles of clothing in dramatic play, and pretended to care for animals. During large group, children participated in a read aloud, finger play and literacy awareness activities. Children washed hands and transitioned to lunch. Lunch today consisted of chicken, noodles, broccoli, bananas and milk. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 852 Incident reports were not completed each time a child was injured, it did not include all the information required in rule, it was not signed by the parent and/or it was not maintained in the child's file. The incident report for one (1) child was maintained on a clipboard with the incident log. .0802 (e) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The emergency medical care information for one (1) child was not updated annually. .0802(c) Technical assistance was provided as follows: Item #852: The incident report for the one (1) child was moved to the child’s file during the visit today. This is corrected. Moving forward, plan to place the incident report in the child’s file after it is signed by the parent and logged on the incident log. Item #1311 Emergency medical care information must be updated for each child annually. We discussed that this can be done digitally through iCare. The parent of the one (1) child was contacted during the visit today to sign and updated enrollment form that contains all of the information needed for safe emergency medical care. Moving forward, plan to have all families sign an updated enrollment form at the start of each school year, including returning children. The following item was not cited as a violation during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may occur in the future if compliance is not met: Item #428 Activity Plan Posted: According to rule .0508(a) activity plans must be posted for parent reference. We discussed printing challenges at the elementary school. We discussed the activity plans can be sent via iCare to ensure parents are aware of the activity plan. 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 4/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@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: Rated License Assessment: You submitted your application for re-assessment on 3/14/25. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a 4 year degree in Early Childhood/Child Development related field, has five (5) years of experience earning seven (7) points. The facility has one (1) lead teacher. The lead teacher holds a 4 year degree in Elementary Education and has twenty (20) years of experience earning seven (7) points. The facility has one (1) teacher. The teacher has 4 year degree (other), NCECC Equivalency and seven (7) semester hours in Early Childhood/ Child Development with eight (8) years of experience earning seven (7) points. The facility earns seven (7) education points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a weekly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Program Standards – The program currently meets enhanced space and reduced ratios. An Outreach Assessment for the ECERS-3 was conducted on 3/6/25 with an overall score of 5.12. The Application for Reassessment for a Rated License was received on 3/14/25. The Rated License Assessment Request Review form was completed during the visit today. An ECERS-3 assessment will be requested. If any areas score 2 points or lower, an Environment Rating Scale visit will be required. The scores from the ECERS-3 assessment will be used to calculate the program points. We discussed some areas that could be improved from the Outreach assessment: -Item 6, 7 and 28: If weather permits, plan to go outside, as scheduled. Alternatively, plan to provide indoor gross motor activities that stimulate the seven (7) gross motor areas as listed on page 28 of the ECERS-3 book. -Item 22: Plan to open the sand or water table during morning center play. -Item 24: Plan to incorporate one more math example in the large group setting. We discussed keeping the activity of counting children who are here and children who are present at the start of large group, and then incorporating a counting activity as you dismiss children to centers. For example, as you dismiss children by the color of their shoes, count the number of children who are left after each color. The facility will need to achieve at least five (5) program points to maintain the Five (5) Star License. We discussed the facility will need to achieve a score of at least 3.3 on the ECERS-3. QRIS Modernization: The QRIS (or Star Rated License) system is changing. The public comment period is open until 4/4/25. Plan to visit https://ncchildcare.ncdhhs.gov/Provider/Licensing/Star-Rated-License/QRIS-Modernization to learn more about the proposed changes. Comments should be directed to: Child Care Commission 2201 Mail Service Center Raleigh, NC 27699-2201 Attn: Julie Peck Julie.peck@dhhs.nc.gov Additionally, there is an in-person public comment opportunity on 3/26/25 in Raleigh. Please see below: Public Hearing: Date: March 26, 2025 Time: 1:15 p.m. Location: 333 Six Forks Road, Room 165, Raleigh, NC 27609 and By WebEx Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. The facility has completed lead in water testing. Additional action is required to complete lead based paint and asbestos testing. The facility is working with the public school maintenance department to complete needed testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Approved Space: 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. Fire Inspection: 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.” Recognizing and Responding to Suspicions of Child Maltreatment Training: 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. WORKS: 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. Health and Safety Training: 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/22/2025 Number Present: 14 Completed Date: 1/22/2025 Age: From 3 To 5 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Alison Heymann, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Heymann was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-two percent (92%) as of 1/6/25. Permit type – Five (5) star license issued 7/19/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meeting reduced ratios. The last fire drill was practiced on 1/14/25. The last shelter-in-place drill was practiced on 12/11/24. The last fire inspection was approved on 9/16/24. The last sanitation inspection was conducted on 2/14/24 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. Upon arrival, I was greeted by Ms. Heymann and Cynthia Winters, Teacher. Children were engaged in independent center play. Children used connector pieces to create patterns, explored translucent blocks on a light table, rolled cars down ramps of varying sizes, pretended to cook and serve treats in dramatic play, drew pictures with markers for family and friends, practiced name writing and worked with teachers to solve a large puzzle. Interactions were positive and nurturing. Teachers guided children in conflict resolution strategies when needed. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 705 Equipment and furnishings were not sturdy, stable and free of hazards. Peeling paint was observed on the climbing structure on the playground in several places, including the railings and footings of the structure. .0601(c) Technical assistance was provided as follows: Item #705 Peeling paint was observed on the climbing structure on the playground in multiple locations. The paint must be repaired in order to reach compliance. We discussed that the structure is exposed to the elements so a weather proof paint is recommended. Plan to reach out to maintenance today to discuss a date that this work will be complete. If the date that maintenance can complete the work is past the due date listed below, please submit a request for extension for the proposed completion date as soon as possible. Extensions are never guaranteed but the sooner I receive the request, the sooner I can pass this along to Supervisory staff for approval. A temporary measure will need to be put in place to prevent access to the peeling paint, such as roping off the climbing structure and providing alternative activities until the work is complete. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/5/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192 or email kaitlyn.marshall@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: Health and Safety Training/Moodle: Staff AH must update Health and Safety training topics beginning in March. We discussed technical issues with DCDEE Moodle. If the issues persist, plan to follow the steps below as listed on the DCDEE Moodle home page: Unable to access Moodle, then follow the steps below: Go to MyNCID https://myncid.nc.gov Login Change your password Wait approximately 1 hour, then login on Moodle If still unable to login, change your password, do the following: Call MyNCID helpline at (800) 722-3946 share with representative unable to change password to access Moodle for assistance. If still unable to login, send an email to DCDEE_MOODLE_SUPPORT@dhhs.nc.gov include in the body of your email: Your name Your email address Your My NCID username ONLY Rated License: We discussed that any rated license activities are purely elective. We discussed that the deadline to apply for the ECERS-R assessment before the change to ECERS-3 was late December. If you would like to move forward with Rated License with your current staff, you would need to receive the ECERS-3 assessment. Information about Outreach assessments for the ECERS-3 is included in the email containing this visit summary. ABCMS Provider Portal: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 15 Completed Date: 4/15/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alison Heymann, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Heymann was present and available to ask and answer questions throughout the visit today. 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 4/12/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/20/24. The last fire drill was practiced on 3/27/24. The last shelter-in-place drill was practiced on 3/6/24. The last playground inspection was documented on 2/12/24. The last fire inspection was approved on 9/11/23. The last sanitation inspection was conducted on 10/4/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Alison Heymann, Lead Teacher, and Cynthia Winters, Teacher. There were six (6) high school student interns (volunteers) present and interacting with the children. The class is studying types of clothing. Children were observed making paper clothes, stitching paper with yarn, drawing pictures with markers, and pretending to make and serve ice cream in dramatic play. Children then transitioned to a whole group meeting in which language games were played, led by the teacher. Children then washed hands and transitioned to lunch. Children ate lunch from home and lunch provided by the school. Lunch today consisted of chicken nuggets, cheesy broccoli, roll, milk and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) Epipen was not stored in the original pharmacy label .0803(2)(a) 853 Incident logs were not completed and maintained as required. The incident log did not contain the name of staff completing each incident report. The incident log was not maintained on the form provided by the Division. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 2/12/24. .0605(q) 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. The emergency information on file for one (1) staff was updated 9/6/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the review of the EPR plan was not maintained on file for one (1) staff. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff did not complete the Health and Safety training topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment”. .1102(a) Technical assistance was provided as follows: Item #844 Prescription medication must be stored with the original pharmacy label. Plan to reach out to the parents of the child with the Epipen to obtain the original pharmacy label. If the label has been discarded, they can reach out the pharmacy to obtain a new label. The medication expires 6/2024. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #853 The incident log must include the name of the staff member completing the incident report. Additionally, there must be a space to mark which incidents are submitted to the Division and the date that they are submitted. Incident reports are only required to be submitted to the Division if a child seeks outside medical attention for an injury that occurs at the facility. A copy of the incident log has been included in the email containing this visit summary. Plan to use the incident log from the Division moving forward. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Item #859 Playground inspections must be completed monthly. In your letter of compliance, include a state that indicates how you will ensure playground inspections are completed each month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Item #1035 Emergency information must be updated on an annual basis or as information changes. The Emergency information form was updated during the visit today. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to maintain documentation of the annual review of the EPR plan on file for all staff. Staff should sign and date an acknowledgement of the review of the EPR plan. Documentation of this review can be maintained in the staff file or in the file containing the EPR plan. For compliance, plan to have the one (1) staff sign an acknowledgement that the EPR plan was review and maintain this documentation on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1898 The topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment” must be completed within the first year of employment and every five (5) years after. We discussed the distinction between ITS/SIDS topics and Prevention of Shaken Baby Syndrome and Abusive Head Trauma topics. The two (2) staff must complete this topic on the DCDEE Moodle. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. 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 4/29/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the paint that is beginning to chip on the climbing structure on the playground. Plan to monitor the paint to ensure chips are not accessible to children. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 15 Completed Date: 4/15/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alison Heymann, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Heymann was present and available to ask and answer questions throughout the visit today. 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 4/12/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/20/24. The last fire drill was practiced on 3/27/24. The last shelter-in-place drill was practiced on 3/6/24. The last playground inspection was documented on 2/12/24. The last fire inspection was approved on 9/11/23. The last sanitation inspection was conducted on 10/4/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Alison Heymann, Lead Teacher, and Cynthia Winters, Teacher. There were six (6) high school student interns (volunteers) present and interacting with the children. The class is studying types of clothing. Children were observed making paper clothes, stitching paper with yarn, drawing pictures with markers, and pretending to make and serve ice cream in dramatic play. Children then transitioned to a whole group meeting in which language games were played, led by the teacher. Children then washed hands and transitioned to lunch. Children ate lunch from home and lunch provided by the school. Lunch today consisted of chicken nuggets, cheesy broccoli, roll, milk and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) Epipen was not stored in the original pharmacy label .0803(2)(a) 853 Incident logs were not completed and maintained as required. The incident log did not contain the name of staff completing each incident report. The incident log was not maintained on the form provided by the Division. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 2/12/24. .0605(q) 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. The emergency information on file for one (1) staff was updated 9/6/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the review of the EPR plan was not maintained on file for one (1) staff. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff did not complete the Health and Safety training topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment”. .1102(a) Technical assistance was provided as follows: Item #844 Prescription medication must be stored with the original pharmacy label. Plan to reach out to the parents of the child with the Epipen to obtain the original pharmacy label. If the label has been discarded, they can reach out the pharmacy to obtain a new label. The medication expires 6/2024. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #853 The incident log must include the name of the staff member completing the incident report. Additionally, there must be a space to mark which incidents are submitted to the Division and the date that they are submitted. Incident reports are only required to be submitted to the Division if a child seeks outside medical attention for an injury that occurs at the facility. A copy of the incident log has been included in the email containing this visit summary. Plan to use the incident log from the Division moving forward. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Item #859 Playground inspections must be completed monthly. In your letter of compliance, include a state that indicates how you will ensure playground inspections are completed each month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Item #1035 Emergency information must be updated on an annual basis or as information changes. The Emergency information form was updated during the visit today. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to maintain documentation of the annual review of the EPR plan on file for all staff. Staff should sign and date an acknowledgement of the review of the EPR plan. Documentation of this review can be maintained in the staff file or in the file containing the EPR plan. For compliance, plan to have the one (1) staff sign an acknowledgement that the EPR plan was review and maintain this documentation on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1898 The topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment” must be completed within the first year of employment and every five (5) years after. We discussed the distinction between ITS/SIDS topics and Prevention of Shaken Baby Syndrome and Abusive Head Trauma topics. The two (2) staff must complete this topic on the DCDEE Moodle. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. 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 4/29/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the paint that is beginning to chip on the climbing structure on the playground. Plan to monitor the paint to ensure chips are not accessible to children. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 15 Completed Date: 4/15/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alison Heymann, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Heymann was present and available to ask and answer questions throughout the visit today. 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 4/12/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/20/24. The last fire drill was practiced on 3/27/24. The last shelter-in-place drill was practiced on 3/6/24. The last playground inspection was documented on 2/12/24. The last fire inspection was approved on 9/11/23. The last sanitation inspection was conducted on 10/4/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Alison Heymann, Lead Teacher, and Cynthia Winters, Teacher. There were six (6) high school student interns (volunteers) present and interacting with the children. The class is studying types of clothing. Children were observed making paper clothes, stitching paper with yarn, drawing pictures with markers, and pretending to make and serve ice cream in dramatic play. Children then transitioned to a whole group meeting in which language games were played, led by the teacher. Children then washed hands and transitioned to lunch. Children ate lunch from home and lunch provided by the school. Lunch today consisted of chicken nuggets, cheesy broccoli, roll, milk and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) Epipen was not stored in the original pharmacy label .0803(2)(a) 853 Incident logs were not completed and maintained as required. The incident log did not contain the name of staff completing each incident report. The incident log was not maintained on the form provided by the Division. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 2/12/24. .0605(q) 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. The emergency information on file for one (1) staff was updated 9/6/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the review of the EPR plan was not maintained on file for one (1) staff. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff did not complete the Health and Safety training topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment”. .1102(a) Technical assistance was provided as follows: Item #844 Prescription medication must be stored with the original pharmacy label. Plan to reach out to the parents of the child with the Epipen to obtain the original pharmacy label. If the label has been discarded, they can reach out the pharmacy to obtain a new label. The medication expires 6/2024. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #853 The incident log must include the name of the staff member completing the incident report. Additionally, there must be a space to mark which incidents are submitted to the Division and the date that they are submitted. Incident reports are only required to be submitted to the Division if a child seeks outside medical attention for an injury that occurs at the facility. A copy of the incident log has been included in the email containing this visit summary. Plan to use the incident log from the Division moving forward. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Item #859 Playground inspections must be completed monthly. In your letter of compliance, include a state that indicates how you will ensure playground inspections are completed each month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Item #1035 Emergency information must be updated on an annual basis or as information changes. The Emergency information form was updated during the visit today. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to maintain documentation of the annual review of the EPR plan on file for all staff. Staff should sign and date an acknowledgement of the review of the EPR plan. Documentation of this review can be maintained in the staff file or in the file containing the EPR plan. For compliance, plan to have the one (1) staff sign an acknowledgement that the EPR plan was review and maintain this documentation on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1898 The topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment” must be completed within the first year of employment and every five (5) years after. We discussed the distinction between ITS/SIDS topics and Prevention of Shaken Baby Syndrome and Abusive Head Trauma topics. The two (2) staff must complete this topic on the DCDEE Moodle. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. 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 4/29/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the paint that is beginning to chip on the climbing structure on the playground. Plan to monitor the paint to ensure chips are not accessible to children. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 15 Completed Date: 4/15/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alison Heymann, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Heymann was present and available to ask and answer questions throughout the visit today. 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 4/12/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/20/24. The last fire drill was practiced on 3/27/24. The last shelter-in-place drill was practiced on 3/6/24. The last playground inspection was documented on 2/12/24. The last fire inspection was approved on 9/11/23. The last sanitation inspection was conducted on 10/4/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Alison Heymann, Lead Teacher, and Cynthia Winters, Teacher. There were six (6) high school student interns (volunteers) present and interacting with the children. The class is studying types of clothing. Children were observed making paper clothes, stitching paper with yarn, drawing pictures with markers, and pretending to make and serve ice cream in dramatic play. Children then transitioned to a whole group meeting in which language games were played, led by the teacher. Children then washed hands and transitioned to lunch. Children ate lunch from home and lunch provided by the school. Lunch today consisted of chicken nuggets, cheesy broccoli, roll, milk and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) Epipen was not stored in the original pharmacy label .0803(2)(a) 853 Incident logs were not completed and maintained as required. The incident log did not contain the name of staff completing each incident report. The incident log was not maintained on the form provided by the Division. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 2/12/24. .0605(q) 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. The emergency information on file for one (1) staff was updated 9/6/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the review of the EPR plan was not maintained on file for one (1) staff. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff did not complete the Health and Safety training topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment”. .1102(a) Technical assistance was provided as follows: Item #844 Prescription medication must be stored with the original pharmacy label. Plan to reach out to the parents of the child with the Epipen to obtain the original pharmacy label. If the label has been discarded, they can reach out the pharmacy to obtain a new label. The medication expires 6/2024. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #853 The incident log must include the name of the staff member completing the incident report. Additionally, there must be a space to mark which incidents are submitted to the Division and the date that they are submitted. Incident reports are only required to be submitted to the Division if a child seeks outside medical attention for an injury that occurs at the facility. A copy of the incident log has been included in the email containing this visit summary. Plan to use the incident log from the Division moving forward. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Item #859 Playground inspections must be completed monthly. In your letter of compliance, include a state that indicates how you will ensure playground inspections are completed each month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Item #1035 Emergency information must be updated on an annual basis or as information changes. The Emergency information form was updated during the visit today. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to maintain documentation of the annual review of the EPR plan on file for all staff. Staff should sign and date an acknowledgement of the review of the EPR plan. Documentation of this review can be maintained in the staff file or in the file containing the EPR plan. For compliance, plan to have the one (1) staff sign an acknowledgement that the EPR plan was review and maintain this documentation on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1898 The topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment” must be completed within the first year of employment and every five (5) years after. We discussed the distinction between ITS/SIDS topics and Prevention of Shaken Baby Syndrome and Abusive Head Trauma topics. The two (2) staff must complete this topic on the DCDEE Moodle. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. 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 4/29/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the paint that is beginning to chip on the climbing structure on the playground. Plan to monitor the paint to ensure chips are not accessible to children. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 15 Completed Date: 4/15/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alison Heymann, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Heymann was present and available to ask and answer questions throughout the visit today. 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 4/12/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/20/24. The last fire drill was practiced on 3/27/24. The last shelter-in-place drill was practiced on 3/6/24. The last playground inspection was documented on 2/12/24. The last fire inspection was approved on 9/11/23. The last sanitation inspection was conducted on 10/4/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Alison Heymann, Lead Teacher, and Cynthia Winters, Teacher. There were six (6) high school student interns (volunteers) present and interacting with the children. The class is studying types of clothing. Children were observed making paper clothes, stitching paper with yarn, drawing pictures with markers, and pretending to make and serve ice cream in dramatic play. Children then transitioned to a whole group meeting in which language games were played, led by the teacher. Children then washed hands and transitioned to lunch. Children ate lunch from home and lunch provided by the school. Lunch today consisted of chicken nuggets, cheesy broccoli, roll, milk and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) Epipen was not stored in the original pharmacy label .0803(2)(a) 853 Incident logs were not completed and maintained as required. The incident log did not contain the name of staff completing each incident report. The incident log was not maintained on the form provided by the Division. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 2/12/24. .0605(q) 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. The emergency information on file for one (1) staff was updated 9/6/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the review of the EPR plan was not maintained on file for one (1) staff. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff did not complete the Health and Safety training topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment”. .1102(a) Technical assistance was provided as follows: Item #844 Prescription medication must be stored with the original pharmacy label. Plan to reach out to the parents of the child with the Epipen to obtain the original pharmacy label. If the label has been discarded, they can reach out the pharmacy to obtain a new label. The medication expires 6/2024. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #853 The incident log must include the name of the staff member completing the incident report. Additionally, there must be a space to mark which incidents are submitted to the Division and the date that they are submitted. Incident reports are only required to be submitted to the Division if a child seeks outside medical attention for an injury that occurs at the facility. A copy of the incident log has been included in the email containing this visit summary. Plan to use the incident log from the Division moving forward. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Item #859 Playground inspections must be completed monthly. In your letter of compliance, include a state that indicates how you will ensure playground inspections are completed each month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Item #1035 Emergency information must be updated on an annual basis or as information changes. The Emergency information form was updated during the visit today. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to maintain documentation of the annual review of the EPR plan on file for all staff. Staff should sign and date an acknowledgement of the review of the EPR plan. Documentation of this review can be maintained in the staff file or in the file containing the EPR plan. For compliance, plan to have the one (1) staff sign an acknowledgement that the EPR plan was review and maintain this documentation on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1898 The topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment” must be completed within the first year of employment and every five (5) years after. We discussed the distinction between ITS/SIDS topics and Prevention of Shaken Baby Syndrome and Abusive Head Trauma topics. The two (2) staff must complete this topic on the DCDEE Moodle. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. 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 4/29/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the paint that is beginning to chip on the climbing structure on the playground. Plan to monitor the paint to ensure chips are not accessible to children. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 15 Completed Date: 4/15/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alison Heymann, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Heymann was present and available to ask and answer questions throughout the visit today. 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 4/12/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/20/24. The last fire drill was practiced on 3/27/24. The last shelter-in-place drill was practiced on 3/6/24. The last playground inspection was documented on 2/12/24. The last fire inspection was approved on 9/11/23. The last sanitation inspection was conducted on 10/4/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Alison Heymann, Lead Teacher, and Cynthia Winters, Teacher. There were six (6) high school student interns (volunteers) present and interacting with the children. The class is studying types of clothing. Children were observed making paper clothes, stitching paper with yarn, drawing pictures with markers, and pretending to make and serve ice cream in dramatic play. Children then transitioned to a whole group meeting in which language games were played, led by the teacher. Children then washed hands and transitioned to lunch. Children ate lunch from home and lunch provided by the school. Lunch today consisted of chicken nuggets, cheesy broccoli, roll, milk and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) Epipen was not stored in the original pharmacy label .0803(2)(a) 853 Incident logs were not completed and maintained as required. The incident log did not contain the name of staff completing each incident report. The incident log was not maintained on the form provided by the Division. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 2/12/24. .0605(q) 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. The emergency information on file for one (1) staff was updated 9/6/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the review of the EPR plan was not maintained on file for one (1) staff. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff did not complete the Health and Safety training topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment”. .1102(a) Technical assistance was provided as follows: Item #844 Prescription medication must be stored with the original pharmacy label. Plan to reach out to the parents of the child with the Epipen to obtain the original pharmacy label. If the label has been discarded, they can reach out the pharmacy to obtain a new label. The medication expires 6/2024. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #853 The incident log must include the name of the staff member completing the incident report. Additionally, there must be a space to mark which incidents are submitted to the Division and the date that they are submitted. Incident reports are only required to be submitted to the Division if a child seeks outside medical attention for an injury that occurs at the facility. A copy of the incident log has been included in the email containing this visit summary. Plan to use the incident log from the Division moving forward. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Item #859 Playground inspections must be completed monthly. In your letter of compliance, include a state that indicates how you will ensure playground inspections are completed each month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Item #1035 Emergency information must be updated on an annual basis or as information changes. The Emergency information form was updated during the visit today. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to maintain documentation of the annual review of the EPR plan on file for all staff. Staff should sign and date an acknowledgement of the review of the EPR plan. Documentation of this review can be maintained in the staff file or in the file containing the EPR plan. For compliance, plan to have the one (1) staff sign an acknowledgement that the EPR plan was review and maintain this documentation on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1898 The topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment” must be completed within the first year of employment and every five (5) years after. We discussed the distinction between ITS/SIDS topics and Prevention of Shaken Baby Syndrome and Abusive Head Trauma topics. The two (2) staff must complete this topic on the DCDEE Moodle. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. 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 4/29/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the paint that is beginning to chip on the climbing structure on the playground. Plan to monitor the paint to ensure chips are not accessible to children. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 15 Completed Date: 4/15/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alison Heymann, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Heymann was present and available to ask and answer questions throughout the visit today. 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 4/12/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/20/24. The last fire drill was practiced on 3/27/24. The last shelter-in-place drill was practiced on 3/6/24. The last playground inspection was documented on 2/12/24. The last fire inspection was approved on 9/11/23. The last sanitation inspection was conducted on 10/4/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Alison Heymann, Lead Teacher, and Cynthia Winters, Teacher. There were six (6) high school student interns (volunteers) present and interacting with the children. The class is studying types of clothing. Children were observed making paper clothes, stitching paper with yarn, drawing pictures with markers, and pretending to make and serve ice cream in dramatic play. Children then transitioned to a whole group meeting in which language games were played, led by the teacher. Children then washed hands and transitioned to lunch. Children ate lunch from home and lunch provided by the school. Lunch today consisted of chicken nuggets, cheesy broccoli, roll, milk and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) Epipen was not stored in the original pharmacy label .0803(2)(a) 853 Incident logs were not completed and maintained as required. The incident log did not contain the name of staff completing each incident report. The incident log was not maintained on the form provided by the Division. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 2/12/24. .0605(q) 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. The emergency information on file for one (1) staff was updated 9/6/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the review of the EPR plan was not maintained on file for one (1) staff. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff did not complete the Health and Safety training topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment”. .1102(a) Technical assistance was provided as follows: Item #844 Prescription medication must be stored with the original pharmacy label. Plan to reach out to the parents of the child with the Epipen to obtain the original pharmacy label. If the label has been discarded, they can reach out the pharmacy to obtain a new label. The medication expires 6/2024. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #853 The incident log must include the name of the staff member completing the incident report. Additionally, there must be a space to mark which incidents are submitted to the Division and the date that they are submitted. Incident reports are only required to be submitted to the Division if a child seeks outside medical attention for an injury that occurs at the facility. A copy of the incident log has been included in the email containing this visit summary. Plan to use the incident log from the Division moving forward. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Item #859 Playground inspections must be completed monthly. In your letter of compliance, include a state that indicates how you will ensure playground inspections are completed each month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Item #1035 Emergency information must be updated on an annual basis or as information changes. The Emergency information form was updated during the visit today. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to maintain documentation of the annual review of the EPR plan on file for all staff. Staff should sign and date an acknowledgement of the review of the EPR plan. Documentation of this review can be maintained in the staff file or in the file containing the EPR plan. For compliance, plan to have the one (1) staff sign an acknowledgement that the EPR plan was review and maintain this documentation on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1898 The topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment” must be completed within the first year of employment and every five (5) years after. We discussed the distinction between ITS/SIDS topics and Prevention of Shaken Baby Syndrome and Abusive Head Trauma topics. The two (2) staff must complete this topic on the DCDEE Moodle. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. 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 4/29/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the paint that is beginning to chip on the climbing structure on the playground. Plan to monitor the paint to ensure chips are not accessible to children. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 15 Completed Date: 4/15/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alison Heymann, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Heymann was present and available to ask and answer questions throughout the visit today. 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 4/12/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/20/24. The last fire drill was practiced on 3/27/24. The last shelter-in-place drill was practiced on 3/6/24. The last playground inspection was documented on 2/12/24. The last fire inspection was approved on 9/11/23. The last sanitation inspection was conducted on 10/4/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Alison Heymann, Lead Teacher, and Cynthia Winters, Teacher. There were six (6) high school student interns (volunteers) present and interacting with the children. The class is studying types of clothing. Children were observed making paper clothes, stitching paper with yarn, drawing pictures with markers, and pretending to make and serve ice cream in dramatic play. Children then transitioned to a whole group meeting in which language games were played, led by the teacher. Children then washed hands and transitioned to lunch. Children ate lunch from home and lunch provided by the school. Lunch today consisted of chicken nuggets, cheesy broccoli, roll, milk and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) Epipen was not stored in the original pharmacy label .0803(2)(a) 853 Incident logs were not completed and maintained as required. The incident log did not contain the name of staff completing each incident report. The incident log was not maintained on the form provided by the Division. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 2/12/24. .0605(q) 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. The emergency information on file for one (1) staff was updated 9/6/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the review of the EPR plan was not maintained on file for one (1) staff. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff did not complete the Health and Safety training topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment”. .1102(a) Technical assistance was provided as follows: Item #844 Prescription medication must be stored with the original pharmacy label. Plan to reach out to the parents of the child with the Epipen to obtain the original pharmacy label. If the label has been discarded, they can reach out the pharmacy to obtain a new label. The medication expires 6/2024. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #853 The incident log must include the name of the staff member completing the incident report. Additionally, there must be a space to mark which incidents are submitted to the Division and the date that they are submitted. Incident reports are only required to be submitted to the Division if a child seeks outside medical attention for an injury that occurs at the facility. A copy of the incident log has been included in the email containing this visit summary. Plan to use the incident log from the Division moving forward. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Item #859 Playground inspections must be completed monthly. In your letter of compliance, include a state that indicates how you will ensure playground inspections are completed each month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Item #1035 Emergency information must be updated on an annual basis or as information changes. The Emergency information form was updated during the visit today. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to maintain documentation of the annual review of the EPR plan on file for all staff. Staff should sign and date an acknowledgement of the review of the EPR plan. Documentation of this review can be maintained in the staff file or in the file containing the EPR plan. For compliance, plan to have the one (1) staff sign an acknowledgement that the EPR plan was review and maintain this documentation on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1898 The topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment” must be completed within the first year of employment and every five (5) years after. We discussed the distinction between ITS/SIDS topics and Prevention of Shaken Baby Syndrome and Abusive Head Trauma topics. The two (2) staff must complete this topic on the DCDEE Moodle. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. 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 4/29/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the paint that is beginning to chip on the climbing structure on the playground. Plan to monitor the paint to ensure chips are not accessible to children. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 15 Completed Date: 4/15/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alison Heymann, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Heymann was present and available to ask and answer questions throughout the visit today. 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 4/12/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/20/24. The last fire drill was practiced on 3/27/24. The last shelter-in-place drill was practiced on 3/6/24. The last playground inspection was documented on 2/12/24. The last fire inspection was approved on 9/11/23. The last sanitation inspection was conducted on 10/4/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Alison Heymann, Lead Teacher, and Cynthia Winters, Teacher. There were six (6) high school student interns (volunteers) present and interacting with the children. The class is studying types of clothing. Children were observed making paper clothes, stitching paper with yarn, drawing pictures with markers, and pretending to make and serve ice cream in dramatic play. Children then transitioned to a whole group meeting in which language games were played, led by the teacher. Children then washed hands and transitioned to lunch. Children ate lunch from home and lunch provided by the school. Lunch today consisted of chicken nuggets, cheesy broccoli, roll, milk and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) Epipen was not stored in the original pharmacy label .0803(2)(a) 853 Incident logs were not completed and maintained as required. The incident log did not contain the name of staff completing each incident report. The incident log was not maintained on the form provided by the Division. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 2/12/24. .0605(q) 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. The emergency information on file for one (1) staff was updated 9/6/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the review of the EPR plan was not maintained on file for one (1) staff. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff did not complete the Health and Safety training topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment”. .1102(a) Technical assistance was provided as follows: Item #844 Prescription medication must be stored with the original pharmacy label. Plan to reach out to the parents of the child with the Epipen to obtain the original pharmacy label. If the label has been discarded, they can reach out the pharmacy to obtain a new label. The medication expires 6/2024. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #853 The incident log must include the name of the staff member completing the incident report. Additionally, there must be a space to mark which incidents are submitted to the Division and the date that they are submitted. Incident reports are only required to be submitted to the Division if a child seeks outside medical attention for an injury that occurs at the facility. A copy of the incident log has been included in the email containing this visit summary. Plan to use the incident log from the Division moving forward. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Item #859 Playground inspections must be completed monthly. In your letter of compliance, include a state that indicates how you will ensure playground inspections are completed each month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Item #1035 Emergency information must be updated on an annual basis or as information changes. The Emergency information form was updated during the visit today. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to maintain documentation of the annual review of the EPR plan on file for all staff. Staff should sign and date an acknowledgement of the review of the EPR plan. Documentation of this review can be maintained in the staff file or in the file containing the EPR plan. For compliance, plan to have the one (1) staff sign an acknowledgement that the EPR plan was review and maintain this documentation on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1898 The topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment” must be completed within the first year of employment and every five (5) years after. We discussed the distinction between ITS/SIDS topics and Prevention of Shaken Baby Syndrome and Abusive Head Trauma topics. The two (2) staff must complete this topic on the DCDEE Moodle. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. 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 4/29/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the paint that is beginning to chip on the climbing structure on the playground. Plan to monitor the paint to ensure chips are not accessible to children. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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: A.C. Reynolds High School Learning Lab Facility ID: 1155046 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/15/2024 Number Present: 15 Completed Date: 4/15/2024 Age: From 3 To 5 Total Minutes: 235 Time In: 09:05 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Alison Heymann, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Heymann was present and available to ask and answer questions throughout the visit today. 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 4/12/24. The facility is operated by Buncombe County Schools. Permit type – Five (5) star license issued 7/19/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios. The last annual compliance visit was conducted on 4/20/24. The last fire drill was practiced on 3/27/24. The last shelter-in-place drill was practiced on 3/6/24. The last playground inspection was documented on 2/12/24. The last fire inspection was approved on 9/11/23. The last sanitation inspection was conducted on 10/4/23 with four (4) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response Plan was updated on 7/19/23. The approved curriculum for four-year-old children is Creative Curriculum. The facility does not provide transportation. Upon arrival I was greeted by Alison Heymann, Lead Teacher, and Cynthia Winters, Teacher. There were six (6) high school student interns (volunteers) present and interacting with the children. The class is studying types of clothing. Children were observed making paper clothes, stitching paper with yarn, drawing pictures with markers, and pretending to make and serve ice cream in dramatic play. Children then transitioned to a whole group meeting in which language games were played, led by the teacher. Children then washed hands and transitioned to lunch. Children ate lunch from home and lunch provided by the school. Lunch today consisted of chicken nuggets, cheesy broccoli, roll, milk and applesauce. Interactions were positive and nurturing. Supervision was adequate. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented during today’s visit: Violation Number Comment Rule 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One (1) Epipen was not stored in the original pharmacy label .0803(2)(a) 853 Incident logs were not completed and maintained as required. The incident log did not contain the name of staff completing each incident report. The incident log was not maintained on the form provided by the Division. .0802(g)(1-6) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 2/12/24. .0605(q) 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. The emergency information on file for one (1) staff was updated 9/6/22. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The documentation of the review of the EPR plan was not maintained on file for one (1) staff. .0607(f) 1898 Staff did not complete the health and safety training within one year of employment. Two (2) staff did not complete the Health and Safety training topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment”. .1102(a) Technical assistance was provided as follows: Item #844 Prescription medication must be stored with the original pharmacy label. Plan to reach out to the parents of the child with the Epipen to obtain the original pharmacy label. If the label has been discarded, they can reach out the pharmacy to obtain a new label. The medication expires 6/2024. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #853 The incident log must include the name of the staff member completing the incident report. Additionally, there must be a space to mark which incidents are submitted to the Division and the date that they are submitted. Incident reports are only required to be submitted to the Division if a child seeks outside medical attention for an injury that occurs at the facility. A copy of the incident log has been included in the email containing this visit summary. Plan to use the incident log from the Division moving forward. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website Item #859 Playground inspections must be completed monthly. In your letter of compliance, include a state that indicates how you will ensure playground inspections are completed each month. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (q) Following completion of playground safety training as required by Rule .1102(e) of this Chapter, a monthly playground inspection shall be conducted by an individual trained in playground safety requirements. A trained administrator or staff person shall make a record of each inspection using a playground inspection checklist provided by the Division. The checklist shall be signed by the person who conducts the inspection and shall be maintained for 12 months in the center's files for review by a representative of the Division. The playground inspection checklist may be found online at https://ncchildcare.ncdhhs.gov/providers/credent.asp. The playground inspection includes a checklist of items related to safety, surfacing, and equipment quality. Item #1035 Emergency information must be updated on an annual basis or as information changes. The Emergency information form was updated during the visit today. This was corrected. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to maintain documentation of the annual review of the EPR plan on file for all staff. Staff should sign and date an acknowledgement of the review of the EPR plan. Documentation of this review can be maintained in the staff file or in the file containing the EPR plan. For compliance, plan to have the one (1) staff sign an acknowledgement that the EPR plan was review and maintain this documentation on file. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #1898 The topic “Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment” must be completed within the first year of employment and every five (5) years after. We discussed the distinction between ITS/SIDS topics and Prevention of Shaken Baby Syndrome and Abusive Head Trauma topics. The two (2) staff must complete this topic on the DCDEE Moodle. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (b) The health and safety training shall include the following topic areas: (1) Prevention and control of infectious diseases, including immunization; (2) Administration of medication, with standards for parental consent; (3) Prevention of and response to emergencies due to food and allergic reactions; (4) Building and physical premises safety, including identification of and protection from hazards that can cause bodily injury such as electrical hazards, bodies of water, and vehicular traffic; (5) Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event; (6) Handling and storage of hazardous materials and the appropriate disposal of biocontaminants; (7) Precautions in transporting children, if applicable; (8) Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment; (9) CPR and First Aid training as required in Paragraphs (c) and (d) of this Rule; (10) Recognizing and reporting child abuse, child neglect, and child maltreatment; and (11) Prevention of sudden infant death syndrome and use of safe sleeping practices. 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 4/29/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed the paint that is beginning to chip on the climbing structure on the playground. Plan to monitor the paint to ensure chips are not accessible to children. 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. Your facility has been placed in cohort 2. Your prep year will be 7/1/24-6/30/25. Your reassessment year will be 7/1/25-6/30/26. Please visit ncrlap.org to learn more about ways to prepare for the Environment Rating Scale assessments. We discussed the importance of ensuring all staff have their education evaluated by WORKS. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, 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