Asheville Catholic School

10A NCAC 09 .0304 · Violation

Name of Operation: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 17 Completed Date: 2/6/2026 Age: From 4 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Samadhar Escobedo, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Escobedo 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-six percent (96%) as of 2/2/26. The facility is operated by the Roman Catholic Diocese of Charlotte. Permit type – Notice of Compliance G.S. 110-106 issued 9/22/25. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve eighteen (18) children ages 3-6. The last annual compliance visit was conducted on 2/18/25. The last fire drill was practiced on 1/13/26. The last shelter-in-place drill was practiced on 11/3/25. The last playground inspection was documented on 2/4/26. The last fire inspection was approved on 2/24/25. The last sanitation inspection was conducted on 8/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/11/24 without hazards. Lead paint testing was completed on 7/31/25. Asbestos testing was completed on 5/12/25. The facility does not provide transportation. Upon arrival I was greeted by Natalia Macias, Office Manager. I was informed children were attending mass in the church and would return shortly. Children returned from mass at approximately 10:15am accompanied by Ms. Escobedo and Alicia Hernandez, Teacher. Children participated in a large group show-and-tell activity. Children transitioned to centers where they pretended to cook and eat food in dramatic play, created art collages using paper and glue sticks and colored coloring sheets with crayons. 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 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. .0604(e) Technical assistance was provided as follows: Item #898 A coffee maker was observed on the counter near the sink in the back of the classroom. The coffee maker was moved during the visit today. This is corrected. We discussed the coffee maker can be used in the classroom when children are not present, such as on teacher workdays. When children are present, the coffee maker and any other appliance with a heating element must be moved to be made inaccessible to children (to a location five (5) feet high. Consultation is provided as follows: We discussed the medical action plan for the Epipens for two (2) children in the class. We discussed the medical action plans on file for the Epipens include an authorization statement to administer the medication. Ensure the parents have signed this form in addition to the physician, in order for this authorization to be valid. Permission to administer the medications must come from the parents, not the physician. We discussed both the medical action plan and the medication administration permission form can be completed and signed by the parent. As a reminder, the Medical Action Plan must be updated annually. The Medication Administration Permission form must be updated every six (6) months. An updated fire inspection is needed by the end of this month. Plan to reach out to schedule the fire inspection immediately. When you receive the new inspection, plan to send the original copy to me withing one week of the inspection date. Plan to conduct a shelter-in-place or lockdown drill by 2/28/26. 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.” 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. 110-106 · Violation

Name of Operation: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/6/2026 Number Present: 17 Completed Date: 2/6/2026 Age: From 4 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Samadhar Escobedo, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Ms. Escobedo 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-six percent (96%) as of 2/2/26. The facility is operated by the Roman Catholic Diocese of Charlotte. Permit type – Notice of Compliance G.S. 110-106 issued 9/22/25. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve eighteen (18) children ages 3-6. The last annual compliance visit was conducted on 2/18/25. The last fire drill was practiced on 1/13/26. The last shelter-in-place drill was practiced on 11/3/25. The last playground inspection was documented on 2/4/26. The last fire inspection was approved on 2/24/25. The last sanitation inspection was conducted on 8/28/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 10/11/24 without hazards. Lead paint testing was completed on 7/31/25. Asbestos testing was completed on 5/12/25. The facility does not provide transportation. Upon arrival I was greeted by Natalia Macias, Office Manager. I was informed children were attending mass in the church and would return shortly. Children returned from mass at approximately 10:15am accompanied by Ms. Escobedo and Alicia Hernandez, Teacher. Children participated in a large group show-and-tell activity. Children transitioned to centers where they pretended to cook and eat food in dramatic play, created art collages using paper and glue sticks and colored coloring sheets with crayons. 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 898 All electrical appliances were not used in accordance with the manufacturers instruction. Appliances with heating elements, such as bottle warmers, crock pots, curling irons, irons, coffee pots, and/or their cords were accessible to preschool-age children. .0604(e) Technical assistance was provided as follows: Item #898 A coffee maker was observed on the counter near the sink in the back of the classroom. The coffee maker was moved during the visit today. This is corrected. We discussed the coffee maker can be used in the classroom when children are not present, such as on teacher workdays. When children are present, the coffee maker and any other appliance with a heating element must be moved to be made inaccessible to children (to a location five (5) feet high. Consultation is provided as follows: We discussed the medical action plan for the Epipens for two (2) children in the class. We discussed the medical action plans on file for the Epipens include an authorization statement to administer the medication. Ensure the parents have signed this form in addition to the physician, in order for this authorization to be valid. Permission to administer the medications must come from the parents, not the physician. We discussed both the medical action plan and the medication administration permission form can be completed and signed by the parent. As a reminder, the Medical Action Plan must be updated annually. The Medication Administration Permission form must be updated every six (6) months. An updated fire inspection is needed by the end of this month. Plan to reach out to schedule the fire inspection immediately. When you receive the new inspection, plan to send the original copy to me withing one week of the inspection date. Plan to conduct a shelter-in-place or lockdown drill by 2/28/26. 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.” 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 .0302 · Violation

Name of Operation: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 4 To 6 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Rebecca Uhler, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Rebecca Uhler, Lead Teacher, 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-two percent (92%) as of 2/17/25. The facility is owned and operated by the Roman Catholic Diocese of Charlotte. Permit type – Notice of Compliance under G.S. 110-106 issued 4/19/22. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 2/28/24. The last fire drill was practiced on 1/14/25. The last shelter-in-place drill was practiced on 1/15/25. The last playground inspection was documented on 2/3/25. The last fire inspection was approved on 2/26/24. The last sanitation inspection was conducted on 8/30/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Ms. Uhler. Children in classroom space 2 were engaged in independent play. Children built 3 dimensional structures with magnatiles, built large structures and ramps for toy airplanes, pretended to cook food in dramatic play and participated in a teacher-led art project using paint. In classroom space 1, children were cleaning up from independent play. Children put materials away and lined up to use the restroom. 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for children in classroom space 1 were not documented today, 2/18/25. 10A NCAC 09 .0302(d)(4) Technical assistance was provided as follows: The following item was cited as a violation today. All violations were corrected during the visit today: Item #125: We discussed the classroom was staffed with a new assistant teacher and a substitute today. Plan to review sign in and out procedures with staff as a reminder. The children were signed in during the visit today, this is corrected. The following item was not cited as a violation during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given for certain items. Please note, these items may be cited as violations in future visits if compliance is not met or maintained: Staff Medical Report: The hire date for staff MO is recorded as 8/19/24. The medical report on file for this staff is dated 9/3/24. On the form, a note was made that the medical reports for staff are due within 30 days of hire. Please note that this is the rule for the medical report for children only. According to rule .0701 (a), staff medical reports are due prior to employment. Moving forward, plan to have new staff submit medical reports prior to the employment. Consultation is provided as follows: Staff files: The Criminal Background check qualifying letter for staff RU will expire on 9/10/25. You can begin to process to renew your Criminal Background Check up to six (6) months prior to the expiration date. The CPR/First Aid certificate for substitute staff LH will expire 4/15/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Your facility has began enrollment for all three (3) tests. Plan to follow up on the Clean Classrooms for Carolina Kids website to ensure action is not needed on your part: https://www.cleanwaterforuskids.org/en/carolina/ We discussed that water sources used for drinking and food preparation were testing in October 2024. We discussed that the sinks in the Pre-K classrooms were not included because they are used for handwashing only- not food preparation or drinking. Criminal Background Check 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.” 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: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 4 To 6 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Rebecca Uhler, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Rebecca Uhler, Lead Teacher, 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-two percent (92%) as of 2/17/25. The facility is owned and operated by the Roman Catholic Diocese of Charlotte. Permit type – Notice of Compliance under G.S. 110-106 issued 4/19/22. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 2/28/24. The last fire drill was practiced on 1/14/25. The last shelter-in-place drill was practiced on 1/15/25. The last playground inspection was documented on 2/3/25. The last fire inspection was approved on 2/26/24. The last sanitation inspection was conducted on 8/30/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Ms. Uhler. Children in classroom space 2 were engaged in independent play. Children built 3 dimensional structures with magnatiles, built large structures and ramps for toy airplanes, pretended to cook food in dramatic play and participated in a teacher-led art project using paint. In classroom space 1, children were cleaning up from independent play. Children put materials away and lined up to use the restroom. 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for children in classroom space 1 were not documented today, 2/18/25. 10A NCAC 09 .0302(d)(4) Technical assistance was provided as follows: The following item was cited as a violation today. All violations were corrected during the visit today: Item #125: We discussed the classroom was staffed with a new assistant teacher and a substitute today. Plan to review sign in and out procedures with staff as a reminder. The children were signed in during the visit today, this is corrected. The following item was not cited as a violation during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given for certain items. Please note, these items may be cited as violations in future visits if compliance is not met or maintained: Staff Medical Report: The hire date for staff MO is recorded as 8/19/24. The medical report on file for this staff is dated 9/3/24. On the form, a note was made that the medical reports for staff are due within 30 days of hire. Please note that this is the rule for the medical report for children only. According to rule .0701 (a), staff medical reports are due prior to employment. Moving forward, plan to have new staff submit medical reports prior to the employment. Consultation is provided as follows: Staff files: The Criminal Background check qualifying letter for staff RU will expire on 9/10/25. You can begin to process to renew your Criminal Background Check up to six (6) months prior to the expiration date. The CPR/First Aid certificate for substitute staff LH will expire 4/15/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Your facility has began enrollment for all three (3) tests. Plan to follow up on the Clean Classrooms for Carolina Kids website to ensure action is not needed on your part: https://www.cleanwaterforuskids.org/en/carolina/ We discussed that water sources used for drinking and food preparation were testing in October 2024. We discussed that the sinks in the Pre-K classrooms were not included because they are used for handwashing only- not food preparation or drinking. Criminal Background Check 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.” 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. 110-106 · Violation

Name of Operation: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 4 To 6 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Rebecca Uhler, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Rebecca Uhler, Lead Teacher, 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-two percent (92%) as of 2/17/25. The facility is owned and operated by the Roman Catholic Diocese of Charlotte. Permit type – Notice of Compliance under G.S. 110-106 issued 4/19/22. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 2/28/24. The last fire drill was practiced on 1/14/25. The last shelter-in-place drill was practiced on 1/15/25. The last playground inspection was documented on 2/3/25. The last fire inspection was approved on 2/26/24. The last sanitation inspection was conducted on 8/30/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Ms. Uhler. Children in classroom space 2 were engaged in independent play. Children built 3 dimensional structures with magnatiles, built large structures and ramps for toy airplanes, pretended to cook food in dramatic play and participated in a teacher-led art project using paint. In classroom space 1, children were cleaning up from independent play. Children put materials away and lined up to use the restroom. 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for children in classroom space 1 were not documented today, 2/18/25. 10A NCAC 09 .0302(d)(4) Technical assistance was provided as follows: The following item was cited as a violation today. All violations were corrected during the visit today: Item #125: We discussed the classroom was staffed with a new assistant teacher and a substitute today. Plan to review sign in and out procedures with staff as a reminder. The children were signed in during the visit today, this is corrected. The following item was not cited as a violation during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given for certain items. Please note, these items may be cited as violations in future visits if compliance is not met or maintained: Staff Medical Report: The hire date for staff MO is recorded as 8/19/24. The medical report on file for this staff is dated 9/3/24. On the form, a note was made that the medical reports for staff are due within 30 days of hire. Please note that this is the rule for the medical report for children only. According to rule .0701 (a), staff medical reports are due prior to employment. Moving forward, plan to have new staff submit medical reports prior to the employment. Consultation is provided as follows: Staff files: The Criminal Background check qualifying letter for staff RU will expire on 9/10/25. You can begin to process to renew your Criminal Background Check up to six (6) months prior to the expiration date. The CPR/First Aid certificate for substitute staff LH will expire 4/15/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Your facility has began enrollment for all three (3) tests. Plan to follow up on the Clean Classrooms for Carolina Kids website to ensure action is not needed on your part: https://www.cleanwaterforuskids.org/en/carolina/ We discussed that water sources used for drinking and food preparation were testing in October 2024. We discussed that the sinks in the Pre-K classrooms were not included because they are used for handwashing only- not food preparation or drinking. Criminal Background Check 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.” 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: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/18/2025 Number Present: 21 Completed Date: 2/18/2025 Age: From 4 To 6 Total Minutes: 195 Time In: 09:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Rebecca Uhler, Lead Teacher, during the visit. A signed copy of the visit summary was emailed to you. Rebecca Uhler, Lead Teacher, 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-two percent (92%) as of 2/17/25. The facility is owned and operated by the Roman Catholic Diocese of Charlotte. Permit type – Notice of Compliance under G.S. 110-106 issued 4/19/22. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 2/28/24. The last fire drill was practiced on 1/14/25. The last shelter-in-place drill was practiced on 1/15/25. The last playground inspection was documented on 2/3/25. The last fire inspection was approved on 2/26/24. The last sanitation inspection was conducted on 8/30/24 with two (2) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Upon arrival I was greeted by Ms. Uhler. Children in classroom space 2 were engaged in independent play. Children built 3 dimensional structures with magnatiles, built large structures and ramps for toy airplanes, pretended to cook food in dramatic play and participated in a teacher-led art project using paint. In classroom space 1, children were cleaning up from independent play. Children put materials away and lined up to use the restroom. 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 125 Daily records of arrival and departure times for children at the center were not maintained as children arrive and depart and/or were not made available for review. The arrival times for children in classroom space 1 were not documented today, 2/18/25. 10A NCAC 09 .0302(d)(4) Technical assistance was provided as follows: The following item was cited as a violation today. All violations were corrected during the visit today: Item #125: We discussed the classroom was staffed with a new assistant teacher and a substitute today. Plan to review sign in and out procedures with staff as a reminder. The children were signed in during the visit today, this is corrected. The following item was not cited as a violation during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given for certain items. Please note, these items may be cited as violations in future visits if compliance is not met or maintained: Staff Medical Report: The hire date for staff MO is recorded as 8/19/24. The medical report on file for this staff is dated 9/3/24. On the form, a note was made that the medical reports for staff are due within 30 days of hire. Please note that this is the rule for the medical report for children only. According to rule .0701 (a), staff medical reports are due prior to employment. Moving forward, plan to have new staff submit medical reports prior to the employment. Consultation is provided as follows: Staff files: The Criminal Background check qualifying letter for staff RU will expire on 9/10/25. You can begin to process to renew your Criminal Background Check up to six (6) months prior to the expiration date. The CPR/First Aid certificate for substitute staff LH will expire 4/15/25. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Your facility has began enrollment for all three (3) tests. Plan to follow up on the Clean Classrooms for Carolina Kids website to ensure action is not needed on your part: https://www.cleanwaterforuskids.org/en/carolina/ We discussed that water sources used for drinking and food preparation were testing in October 2024. We discussed that the sinks in the Pre-K classrooms were not included because they are used for handwashing only- not food preparation or drinking. Criminal Background Check 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.” 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 .0605 · Violation

Name of Operation: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 23 Completed Date: 9/12/2024 Age: From 4 To 5 Total Minutes: 135 Time In: 10:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced 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 Melissa Stuart, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Mrs. Stuart 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, CPR / First Aid, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 9/11/24. The last fire drill was practiced on 8/28/24. The last emergency drill, lockdown drill, was practiced on 8/29/24. The last fire inspection was approved on 2/26/24. The program’s most recent sanitation inspection was completed on 8/30/24, with two (2) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by Melissa Stuart, Administrator. Rebecca Uhler and Samadhar Escobedo, Lead Teachers, were available to ask and answer questions throughout the walk through today. Children form group 1 were attending music class. Alicia Hernandez, Teacher, accompanied the children throughout the class. Children engaged in a large group meeting in which a greeting song was sung that included each child and teachers’ names. Children from group 2 attended art class. Maria Onate, Teacher, accompanied the children throughout the class. Children watched a video about color mixing before receiving instructions for the day’s activity. Interactions were positive and nurturing. Children were actively supervised at all times. 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 cited during the visit today: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Aerosol sunscreen was stored on top of the refrigerator in classroom space 2. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the climber and the rock climbing tunnel measured four (4) to five (5) inches in various places within the fall zone. .0605(k)(1-4) Technical Assistance provided as follows: Item #1867 We discussed the mulch measured up to seven (7) inches in places not included in the fall zone. This mulch could be raked to the fall zone of anchored equipment to try to reach the required six (6) inches in depth. If this is not sufficient, new mulch will need to be ordered. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Item #840 The aerosol sunscreen was placed in locked storage during the visit. This was corrected. We discussed that you may reach out to the parent to see if they would prefer to send a non-aerosol sunscreen instead. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/26/24. 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 possibility of including the multi-purpose space, Kindergarten classroom and music room in licensed space. As a reminder, a building (continued use form), fire and sanitation inspection will be needed before I can come to license the space. An additional contact for building inspector was provided to Ms. Uhler today. Mrs. Stuart is the new Administrator and owner contact for the facility. A new Application-Facility profile and Appendix F-1 was received today. 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: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/12/2024 Number Present: 23 Completed Date: 9/12/2024 Age: From 4 To 5 Total Minutes: 135 Time In: 10:15 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced 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 Melissa Stuart, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Mrs. Stuart 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, CPR / First Aid, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, discipline, adequate / approved space, program records, and permit restrictions. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-six percent (86%) as of 9/11/24. The last fire drill was practiced on 8/28/24. The last emergency drill, lockdown drill, was practiced on 8/29/24. The last fire inspection was approved on 2/26/24. The program’s most recent sanitation inspection was completed on 8/30/24, with two (2) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by Melissa Stuart, Administrator. Rebecca Uhler and Samadhar Escobedo, Lead Teachers, were available to ask and answer questions throughout the walk through today. Children form group 1 were attending music class. Alicia Hernandez, Teacher, accompanied the children throughout the class. Children engaged in a large group meeting in which a greeting song was sung that included each child and teachers’ names. Children from group 2 attended art class. Maria Onate, Teacher, accompanied the children throughout the class. Children watched a video about color mixing before receiving instructions for the day’s activity. Interactions were positive and nurturing. Children were actively supervised at all times. 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 cited during the visit today: Violation Number Comment Rule 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Aerosol sunscreen was stored on top of the refrigerator in classroom space 2. .2820(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch around the climber and the rock climbing tunnel measured four (4) to five (5) inches in various places within the fall zone. .0605(k)(1-4) Technical Assistance provided as follows: Item #1867 We discussed the mulch measured up to seven (7) inches in places not included in the fall zone. This mulch could be raked to the fall zone of anchored equipment to try to reach the required six (6) inches in depth. If this is not sufficient, new mulch will need to be ordered. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. Item #840 The aerosol sunscreen was placed in locked storage during the visit. This was corrected. We discussed that you may reach out to the parent to see if they would prefer to send a non-aerosol sunscreen instead. 15A NCAC 18A .2820 STORAGE (b) Toxic substances, which include corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled shall be kept in the original container or in another labeled container, used according to the manufacturer's instructions, and stored in a locked storage room or cabinet when not in use. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 9/26/24. 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 possibility of including the multi-purpose space, Kindergarten classroom and music room in licensed space. As a reminder, a building (continued use form), fire and sanitation inspection will be needed before I can come to license the space. An additional contact for building inspector was provided to Ms. Uhler today. Mrs. Stuart is the new Administrator and owner contact for the facility. A new Application-Facility profile and Appendix F-1 was received today. 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 .0302 · Violation

Name of Operation: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 23 Completed Date: 2/28/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Rebecca Uhler, Lead Teacher. An electronic signed copy of the visit summary was emailed to you. Ms. Uhler 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, medication 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 eighty-three percent (83%) as of 2/26/24. This facility is owned by the Roman Catholic Diocese of Charlotte. Permit type – G.S. 110-106 Notice of Compliance issued 4/19/22. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 3/14/23. The last fire drill was practiced on 2/28/24. The last lockdown drill was practiced on 12/7/23. The last playground inspection was documented on 2/1/24. The last fire inspection was approved on 3/31/23. The last sanitation inspection was conducted on 9/1/23 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/4/23. The program does not provide transportation. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are eighteen (18) staff. One (1) existing staff file was monitored today. Eleven (11) new staff files were monitored today. In classroom space 2, children were engaged in a large group meeting. A teacher lead sorting and graphing activity was conducted on the SMART board. Children then transitioned to tables to practice sorting and graphing plastic animals of varying colors. The children discussed quantities in terms of more, less or equal. In classroom space 1, children were engaged in center free play. In the dramatic play center, children pretended to cook and sell food and pretended to operate a beauty salon. In the blocks center, children built small structures with connecting blocks and large plastic blocks for toy trucks. Children were observed engaged in pretend play, acting out various scenarios at a zoo with pony figurines in a dollhouse. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Twelve (12) children were not signed in upon arrival in classroom space 2. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. An opening measuring approximately five (5) inches was observed on the latching side of the gate on the fence facing the woods behind the playground. .0605(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening on file for one (1) staff (date of employment 9/7/23) was not signed by a licensed health care professional. .0701(a) Technical assistance was provided as follows: Item #125 Documentation of children’s arrival to the center must occur as the children enter. This was corrected. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Item #714 The gap in the gate must be closed to less than 3.5 inches to prevent entrapment. This can be accomplished by adjusting the hinge on the gate or by closing the gap on the latch side of the gate. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. Item #1033 The TB screening for the one (1) staff must be signed by a health care professional. Please note, both TB tests and screenings must be conducted by a health care professional. This was corrected during the visit. Item #1033 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 3/13/24. 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: Technical assistance was provided on the new children’s files packet for families for the upcoming school year. No issues were found with the current packet. You can refer to the Children’s Records form for additional information on child file requirements. We discussed ensuring the gates on the playground remain closed while children are in care. We discussed a possible change in Administration for your facility. Please notify me via email of this change. Updated paperwork will be needed for the new principal. We discussed the fire inspection that was conducted on 2/26/24. Continue to work with the fire marshal’s office on achieving compliance with fire code requirements. After your reinspection, plan to make a copy of the fire report and send the original to me via mail at the following address: Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 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.” 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. 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 .0304 · Violation

Name of Operation: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 23 Completed Date: 2/28/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Rebecca Uhler, Lead Teacher. An electronic signed copy of the visit summary was emailed to you. Ms. Uhler 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, medication 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 eighty-three percent (83%) as of 2/26/24. This facility is owned by the Roman Catholic Diocese of Charlotte. Permit type – G.S. 110-106 Notice of Compliance issued 4/19/22. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 3/14/23. The last fire drill was practiced on 2/28/24. The last lockdown drill was practiced on 12/7/23. The last playground inspection was documented on 2/1/24. The last fire inspection was approved on 3/31/23. The last sanitation inspection was conducted on 9/1/23 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/4/23. The program does not provide transportation. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are eighteen (18) staff. One (1) existing staff file was monitored today. Eleven (11) new staff files were monitored today. In classroom space 2, children were engaged in a large group meeting. A teacher lead sorting and graphing activity was conducted on the SMART board. Children then transitioned to tables to practice sorting and graphing plastic animals of varying colors. The children discussed quantities in terms of more, less or equal. In classroom space 1, children were engaged in center free play. In the dramatic play center, children pretended to cook and sell food and pretended to operate a beauty salon. In the blocks center, children built small structures with connecting blocks and large plastic blocks for toy trucks. Children were observed engaged in pretend play, acting out various scenarios at a zoo with pony figurines in a dollhouse. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Twelve (12) children were not signed in upon arrival in classroom space 2. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. An opening measuring approximately five (5) inches was observed on the latching side of the gate on the fence facing the woods behind the playground. .0605(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening on file for one (1) staff (date of employment 9/7/23) was not signed by a licensed health care professional. .0701(a) Technical assistance was provided as follows: Item #125 Documentation of children’s arrival to the center must occur as the children enter. This was corrected. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Item #714 The gap in the gate must be closed to less than 3.5 inches to prevent entrapment. This can be accomplished by adjusting the hinge on the gate or by closing the gap on the latch side of the gate. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. Item #1033 The TB screening for the one (1) staff must be signed by a health care professional. Please note, both TB tests and screenings must be conducted by a health care professional. This was corrected during the visit. Item #1033 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 3/13/24. 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: Technical assistance was provided on the new children’s files packet for families for the upcoming school year. No issues were found with the current packet. You can refer to the Children’s Records form for additional information on child file requirements. We discussed ensuring the gates on the playground remain closed while children are in care. We discussed a possible change in Administration for your facility. Please notify me via email of this change. Updated paperwork will be needed for the new principal. We discussed the fire inspection that was conducted on 2/26/24. Continue to work with the fire marshal’s office on achieving compliance with fire code requirements. After your reinspection, plan to make a copy of the fire report and send the original to me via mail at the following address: Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 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.” 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. 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: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 23 Completed Date: 2/28/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Rebecca Uhler, Lead Teacher. An electronic signed copy of the visit summary was emailed to you. Ms. Uhler 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, medication 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 eighty-three percent (83%) as of 2/26/24. This facility is owned by the Roman Catholic Diocese of Charlotte. Permit type – G.S. 110-106 Notice of Compliance issued 4/19/22. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 3/14/23. The last fire drill was practiced on 2/28/24. The last lockdown drill was practiced on 12/7/23. The last playground inspection was documented on 2/1/24. The last fire inspection was approved on 3/31/23. The last sanitation inspection was conducted on 9/1/23 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/4/23. The program does not provide transportation. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are eighteen (18) staff. One (1) existing staff file was monitored today. Eleven (11) new staff files were monitored today. In classroom space 2, children were engaged in a large group meeting. A teacher lead sorting and graphing activity was conducted on the SMART board. Children then transitioned to tables to practice sorting and graphing plastic animals of varying colors. The children discussed quantities in terms of more, less or equal. In classroom space 1, children were engaged in center free play. In the dramatic play center, children pretended to cook and sell food and pretended to operate a beauty salon. In the blocks center, children built small structures with connecting blocks and large plastic blocks for toy trucks. Children were observed engaged in pretend play, acting out various scenarios at a zoo with pony figurines in a dollhouse. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Twelve (12) children were not signed in upon arrival in classroom space 2. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. An opening measuring approximately five (5) inches was observed on the latching side of the gate on the fence facing the woods behind the playground. .0605(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening on file for one (1) staff (date of employment 9/7/23) was not signed by a licensed health care professional. .0701(a) Technical assistance was provided as follows: Item #125 Documentation of children’s arrival to the center must occur as the children enter. This was corrected. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Item #714 The gap in the gate must be closed to less than 3.5 inches to prevent entrapment. This can be accomplished by adjusting the hinge on the gate or by closing the gap on the latch side of the gate. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. Item #1033 The TB screening for the one (1) staff must be signed by a health care professional. Please note, both TB tests and screenings must be conducted by a health care professional. This was corrected during the visit. Item #1033 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 3/13/24. 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: Technical assistance was provided on the new children’s files packet for families for the upcoming school year. No issues were found with the current packet. You can refer to the Children’s Records form for additional information on child file requirements. We discussed ensuring the gates on the playground remain closed while children are in care. We discussed a possible change in Administration for your facility. Please notify me via email of this change. Updated paperwork will be needed for the new principal. We discussed the fire inspection that was conducted on 2/26/24. Continue to work with the fire marshal’s office on achieving compliance with fire code requirements. After your reinspection, plan to make a copy of the fire report and send the original to me via mail at the following address: Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 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.” 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. 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: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 23 Completed Date: 2/28/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Rebecca Uhler, Lead Teacher. An electronic signed copy of the visit summary was emailed to you. Ms. Uhler 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, medication 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 eighty-three percent (83%) as of 2/26/24. This facility is owned by the Roman Catholic Diocese of Charlotte. Permit type – G.S. 110-106 Notice of Compliance issued 4/19/22. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 3/14/23. The last fire drill was practiced on 2/28/24. The last lockdown drill was practiced on 12/7/23. The last playground inspection was documented on 2/1/24. The last fire inspection was approved on 3/31/23. The last sanitation inspection was conducted on 9/1/23 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/4/23. The program does not provide transportation. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are eighteen (18) staff. One (1) existing staff file was monitored today. Eleven (11) new staff files were monitored today. In classroom space 2, children were engaged in a large group meeting. A teacher lead sorting and graphing activity was conducted on the SMART board. Children then transitioned to tables to practice sorting and graphing plastic animals of varying colors. The children discussed quantities in terms of more, less or equal. In classroom space 1, children were engaged in center free play. In the dramatic play center, children pretended to cook and sell food and pretended to operate a beauty salon. In the blocks center, children built small structures with connecting blocks and large plastic blocks for toy trucks. Children were observed engaged in pretend play, acting out various scenarios at a zoo with pony figurines in a dollhouse. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Twelve (12) children were not signed in upon arrival in classroom space 2. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. An opening measuring approximately five (5) inches was observed on the latching side of the gate on the fence facing the woods behind the playground. .0605(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening on file for one (1) staff (date of employment 9/7/23) was not signed by a licensed health care professional. .0701(a) Technical assistance was provided as follows: Item #125 Documentation of children’s arrival to the center must occur as the children enter. This was corrected. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Item #714 The gap in the gate must be closed to less than 3.5 inches to prevent entrapment. This can be accomplished by adjusting the hinge on the gate or by closing the gap on the latch side of the gate. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. Item #1033 The TB screening for the one (1) staff must be signed by a health care professional. Please note, both TB tests and screenings must be conducted by a health care professional. This was corrected during the visit. Item #1033 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 3/13/24. 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: Technical assistance was provided on the new children’s files packet for families for the upcoming school year. No issues were found with the current packet. You can refer to the Children’s Records form for additional information on child file requirements. We discussed ensuring the gates on the playground remain closed while children are in care. We discussed a possible change in Administration for your facility. Please notify me via email of this change. Updated paperwork will be needed for the new principal. We discussed the fire inspection that was conducted on 2/26/24. Continue to work with the fire marshal’s office on achieving compliance with fire code requirements. After your reinspection, plan to make a copy of the fire report and send the original to me via mail at the following address: Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 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.” 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. 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

G.S. 110-106 · Violation

Name of Operation: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 23 Completed Date: 2/28/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Rebecca Uhler, Lead Teacher. An electronic signed copy of the visit summary was emailed to you. Ms. Uhler 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, medication 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 eighty-three percent (83%) as of 2/26/24. This facility is owned by the Roman Catholic Diocese of Charlotte. Permit type – G.S. 110-106 Notice of Compliance issued 4/19/22. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 3/14/23. The last fire drill was practiced on 2/28/24. The last lockdown drill was practiced on 12/7/23. The last playground inspection was documented on 2/1/24. The last fire inspection was approved on 3/31/23. The last sanitation inspection was conducted on 9/1/23 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/4/23. The program does not provide transportation. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are eighteen (18) staff. One (1) existing staff file was monitored today. Eleven (11) new staff files were monitored today. In classroom space 2, children were engaged in a large group meeting. A teacher lead sorting and graphing activity was conducted on the SMART board. Children then transitioned to tables to practice sorting and graphing plastic animals of varying colors. The children discussed quantities in terms of more, less or equal. In classroom space 1, children were engaged in center free play. In the dramatic play center, children pretended to cook and sell food and pretended to operate a beauty salon. In the blocks center, children built small structures with connecting blocks and large plastic blocks for toy trucks. Children were observed engaged in pretend play, acting out various scenarios at a zoo with pony figurines in a dollhouse. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Twelve (12) children were not signed in upon arrival in classroom space 2. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. An opening measuring approximately five (5) inches was observed on the latching side of the gate on the fence facing the woods behind the playground. .0605(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening on file for one (1) staff (date of employment 9/7/23) was not signed by a licensed health care professional. .0701(a) Technical assistance was provided as follows: Item #125 Documentation of children’s arrival to the center must occur as the children enter. This was corrected. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Item #714 The gap in the gate must be closed to less than 3.5 inches to prevent entrapment. This can be accomplished by adjusting the hinge on the gate or by closing the gap on the latch side of the gate. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. Item #1033 The TB screening for the one (1) staff must be signed by a health care professional. Please note, both TB tests and screenings must be conducted by a health care professional. This was corrected during the visit. Item #1033 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 3/13/24. 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: Technical assistance was provided on the new children’s files packet for families for the upcoming school year. No issues were found with the current packet. You can refer to the Children’s Records form for additional information on child file requirements. We discussed ensuring the gates on the playground remain closed while children are in care. We discussed a possible change in Administration for your facility. Please notify me via email of this change. Updated paperwork will be needed for the new principal. We discussed the fire inspection that was conducted on 2/26/24. Continue to work with the fire marshal’s office on achieving compliance with fire code requirements. After your reinspection, plan to make a copy of the fire report and send the original to me via mail at the following address: Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 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.” 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. 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: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 2/28/2024 Number Present: 23 Completed Date: 2/28/2024 Age: From 4 To 5 Total Minutes: 255 Time In: 09:15 AM Time Out: 01:30 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 Rebecca Uhler, Lead Teacher. An electronic signed copy of the visit summary was emailed to you. Ms. Uhler 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, medication 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 eighty-three percent (83%) as of 2/26/24. This facility is owned by the Roman Catholic Diocese of Charlotte. Permit type – G.S. 110-106 Notice of Compliance issued 4/19/22. Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 3/14/23. The last fire drill was practiced on 2/28/24. The last lockdown drill was practiced on 12/7/23. The last playground inspection was documented on 2/1/24. The last fire inspection was approved on 3/31/23. The last sanitation inspection was conducted on 9/1/23 with zero (0) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/4/23. The program does not provide transportation. There are twenty-four (24) children enrolled. Three (3) children’s files were monitored today. There are eighteen (18) staff. One (1) existing staff file was monitored today. Eleven (11) new staff files were monitored today. In classroom space 2, children were engaged in a large group meeting. A teacher lead sorting and graphing activity was conducted on the SMART board. Children then transitioned to tables to practice sorting and graphing plastic animals of varying colors. The children discussed quantities in terms of more, less or equal. In classroom space 1, children were engaged in center free play. In the dramatic play center, children pretended to cook and sell food and pretended to operate a beauty salon. In the blocks center, children built small structures with connecting blocks and large plastic blocks for toy trucks. Children were observed engaged in pretend play, acting out various scenarios at a zoo with pony figurines in a dollhouse. Interactions were positive and nurturing. Children were gently redirected as needed. Children were actively supervised at all times. 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 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. Twelve (12) children were not signed in upon arrival in classroom space 2. 10A NCAC 09 .0302(d)(4) 714 Openings in equipment, steps, decks, handrails, and fencing were not less than 3 1/2 inches or greater than 9 inches. An opening measuring approximately five (5) inches was observed on the latching side of the gate on the fence facing the woods behind the playground. .0605(g) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. The TB screening on file for one (1) staff (date of employment 9/7/23) was not signed by a licensed health care professional. .0701(a) Technical assistance was provided as follows: Item #125 Documentation of children’s arrival to the center must occur as the children enter. This was corrected. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Item #714 The gap in the gate must be closed to less than 3.5 inches to prevent entrapment. This can be accomplished by adjusting the hinge on the gate or by closing the gap on the latch side of the gate. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (g) Any openings in equipment, steps, decks, handrails, and fencing shall be smaller than 3 ½ inches or greater than 9 inches to prevent entrapment. Item #1033 The TB screening for the one (1) staff must be signed by a health care professional. Please note, both TB tests and screenings must be conducted by a health care professional. This was corrected during the visit. Item #1033 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: All staff, including the director and individuals who volunteer more than once per week. Item Requirements: Tuberculin (TB) Test or Screening The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. 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 3/13/24. 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: Technical assistance was provided on the new children’s files packet for families for the upcoming school year. No issues were found with the current packet. You can refer to the Children’s Records form for additional information on child file requirements. We discussed ensuring the gates on the playground remain closed while children are in care. We discussed a possible change in Administration for your facility. Please notify me via email of this change. Updated paperwork will be needed for the new principal. We discussed the fire inspection that was conducted on 2/26/24. Continue to work with the fire marshal’s office on achieving compliance with fire code requirements. After your reinspection, plan to make a copy of the fire report and send the original to me via mail at the following address: Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 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.” 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. 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 .0302 · Violation

Name of Operation: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 17 Completed Date: 8/24/2023 Age: From 4 To 5 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Administrative Action Follow-up visit. The Administrative Action was issued on 5/11/23. Monica Houck, Lead Child Care Consultant, accompanied me on today’s 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 Mike Miller, Principal, during the visit. An electronically signed copy of the visit summary was emailed to you. Limited monitoring was conducted today including supervision, discipline, staff/child ratio, group size, licensed capacity, permit restrictions, CPR/First Aid training, Criminal Background Check, staff files, program records and children’s files. The program is operating on a Notice of Compliance issued 4/19/22. Restrictions include 1st shift (daytime care). The 2022-2023 school year ended on 6/2/23 and the 2023-2024 school year began on 8/17/23. The child care facility was closed when school was not in session. Upon arrival we were greeted by Mike Miller, Principal. The Administrative Action was not posted in the office. Clarification was provided on the timeline that the Action is required to be posted. Plan to keep the Notice of Administrative Action, cover letter, and Corrective Action Plan posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. Mr. Miller posted the Administrative Action at the front desk once the additional stipulation of the closure letter and beyond the three months was explained. Compliance for the Corrective Action Plan (CAP) was monitored as follows: Item #1- No violations were observed today related to the requirements included in this stipulation. This item is in compliance. Item #2- Mr. Miller contacted Ms. Houck on 5/19/2023 to schedule a Rules Review on 8/8/2023. The Rules Review was completed on 8/8/2023. This item is in compliance. Item #3- The written plan was submitted on 8/21/23. The written plan was approved on 8/22/23. Mr. Miller was notified verbally and in writing of this approval on 8/22/23. This item is in compliance. Item #4- A staff meeting was held at the facility on 8/23/23. Two (2) staff members were unable to attend the meeting. This item is partially complete. Documentation was maintained on file as required in the CAP including Rules Review attendance roster, written plan, staff meeting minutes and staff meeting roster. In classroom space 1, there were nine (9) children, ages four and five, present with two (2) caregivers. One of the caregivers was a substitute. In classroom space 2, there were eight (8) children, ages four and five, present with two (2) caregivers. In classroom space 2, children were observed climbing, running, and engaged in a make-believe lava game on the playground. In classroom space 1, children were observed transitioning indoors, washed hands and ate snack brought from home. Children were actively supervised at all times. Interactions were positive and encouraging. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, there was one (1) of nine (9) children that did not have a documented arrival time for today. 10A NCAC 09 .0302(d)(4) Technical Assistance provided as follows: Item #125 The missing sign in was documented during the visit today. This was corrected. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Consultation provided as follows: We discussed that two (2) staff members were unable to attend the meeting on 8/23/23, in which the written plan was discussed according to the Step #4 of the Corrective Action plan. Please notify me when these two (2) staff members have been informed of the plan and provide documentation of this meeting. Plan to contact Buncombe County Environmental Health to make them aware the facility is coming up on one year from the last sanitation inspection, which was conducted on 9/12/22. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Plan to conduct a fire drill, shelter in place or lockdown drill and a playground inspection by the end of the month. There was a Starbucks coffee cup in classroom space 2. Moving forward, plan to pour drinks that do not meet nutrition guidelines into opaque cups or thermoses. Please see the rule reference below for details. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Staff member CF must renew their CPR/First Aid Training by 10/29/23. We discussed the fall zone around the climber on the playground. Plan to ensure all unanchored equipment is kept six (6) feet away from the anchored climbing structure. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We discussed that the regular off-premise activities are posted on the schedule in each classroom. For other off-premise activities that occur throughout the year such as farm day, field day, etc., plan to post a schedule of these activities as they occur. We discussed a simple way of accomplishing this can be posting an un signed permission form for the off-premise activity that includes the date/time of the activity on the bulletin board in the classroom. 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 .0304 · Violation

Name of Operation: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 17 Completed Date: 8/24/2023 Age: From 4 To 5 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Administrative Action Follow-up visit. The Administrative Action was issued on 5/11/23. Monica Houck, Lead Child Care Consultant, accompanied me on today’s 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 Mike Miller, Principal, during the visit. An electronically signed copy of the visit summary was emailed to you. Limited monitoring was conducted today including supervision, discipline, staff/child ratio, group size, licensed capacity, permit restrictions, CPR/First Aid training, Criminal Background Check, staff files, program records and children’s files. The program is operating on a Notice of Compliance issued 4/19/22. Restrictions include 1st shift (daytime care). The 2022-2023 school year ended on 6/2/23 and the 2023-2024 school year began on 8/17/23. The child care facility was closed when school was not in session. Upon arrival we were greeted by Mike Miller, Principal. The Administrative Action was not posted in the office. Clarification was provided on the timeline that the Action is required to be posted. Plan to keep the Notice of Administrative Action, cover letter, and Corrective Action Plan posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. Mr. Miller posted the Administrative Action at the front desk once the additional stipulation of the closure letter and beyond the three months was explained. Compliance for the Corrective Action Plan (CAP) was monitored as follows: Item #1- No violations were observed today related to the requirements included in this stipulation. This item is in compliance. Item #2- Mr. Miller contacted Ms. Houck on 5/19/2023 to schedule a Rules Review on 8/8/2023. The Rules Review was completed on 8/8/2023. This item is in compliance. Item #3- The written plan was submitted on 8/21/23. The written plan was approved on 8/22/23. Mr. Miller was notified verbally and in writing of this approval on 8/22/23. This item is in compliance. Item #4- A staff meeting was held at the facility on 8/23/23. Two (2) staff members were unable to attend the meeting. This item is partially complete. Documentation was maintained on file as required in the CAP including Rules Review attendance roster, written plan, staff meeting minutes and staff meeting roster. In classroom space 1, there were nine (9) children, ages four and five, present with two (2) caregivers. One of the caregivers was a substitute. In classroom space 2, there were eight (8) children, ages four and five, present with two (2) caregivers. In classroom space 2, children were observed climbing, running, and engaged in a make-believe lava game on the playground. In classroom space 1, children were observed transitioning indoors, washed hands and ate snack brought from home. Children were actively supervised at all times. Interactions were positive and encouraging. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, there was one (1) of nine (9) children that did not have a documented arrival time for today. 10A NCAC 09 .0302(d)(4) Technical Assistance provided as follows: Item #125 The missing sign in was documented during the visit today. This was corrected. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Consultation provided as follows: We discussed that two (2) staff members were unable to attend the meeting on 8/23/23, in which the written plan was discussed according to the Step #4 of the Corrective Action plan. Please notify me when these two (2) staff members have been informed of the plan and provide documentation of this meeting. Plan to contact Buncombe County Environmental Health to make them aware the facility is coming up on one year from the last sanitation inspection, which was conducted on 9/12/22. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Plan to conduct a fire drill, shelter in place or lockdown drill and a playground inspection by the end of the month. There was a Starbucks coffee cup in classroom space 2. Moving forward, plan to pour drinks that do not meet nutrition guidelines into opaque cups or thermoses. Please see the rule reference below for details. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Staff member CF must renew their CPR/First Aid Training by 10/29/23. We discussed the fall zone around the climber on the playground. Plan to ensure all unanchored equipment is kept six (6) feet away from the anchored climbing structure. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We discussed that the regular off-premise activities are posted on the schedule in each classroom. For other off-premise activities that occur throughout the year such as farm day, field day, etc., plan to post a schedule of these activities as they occur. We discussed a simple way of accomplishing this can be posting an un signed permission form for the off-premise activity that includes the date/time of the activity on the bulletin board in the classroom. 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: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 17 Completed Date: 8/24/2023 Age: From 4 To 5 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Administrative Action Follow-up visit. The Administrative Action was issued on 5/11/23. Monica Houck, Lead Child Care Consultant, accompanied me on today’s 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 Mike Miller, Principal, during the visit. An electronically signed copy of the visit summary was emailed to you. Limited monitoring was conducted today including supervision, discipline, staff/child ratio, group size, licensed capacity, permit restrictions, CPR/First Aid training, Criminal Background Check, staff files, program records and children’s files. The program is operating on a Notice of Compliance issued 4/19/22. Restrictions include 1st shift (daytime care). The 2022-2023 school year ended on 6/2/23 and the 2023-2024 school year began on 8/17/23. The child care facility was closed when school was not in session. Upon arrival we were greeted by Mike Miller, Principal. The Administrative Action was not posted in the office. Clarification was provided on the timeline that the Action is required to be posted. Plan to keep the Notice of Administrative Action, cover letter, and Corrective Action Plan posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. Mr. Miller posted the Administrative Action at the front desk once the additional stipulation of the closure letter and beyond the three months was explained. Compliance for the Corrective Action Plan (CAP) was monitored as follows: Item #1- No violations were observed today related to the requirements included in this stipulation. This item is in compliance. Item #2- Mr. Miller contacted Ms. Houck on 5/19/2023 to schedule a Rules Review on 8/8/2023. The Rules Review was completed on 8/8/2023. This item is in compliance. Item #3- The written plan was submitted on 8/21/23. The written plan was approved on 8/22/23. Mr. Miller was notified verbally and in writing of this approval on 8/22/23. This item is in compliance. Item #4- A staff meeting was held at the facility on 8/23/23. Two (2) staff members were unable to attend the meeting. This item is partially complete. Documentation was maintained on file as required in the CAP including Rules Review attendance roster, written plan, staff meeting minutes and staff meeting roster. In classroom space 1, there were nine (9) children, ages four and five, present with two (2) caregivers. One of the caregivers was a substitute. In classroom space 2, there were eight (8) children, ages four and five, present with two (2) caregivers. In classroom space 2, children were observed climbing, running, and engaged in a make-believe lava game on the playground. In classroom space 1, children were observed transitioning indoors, washed hands and ate snack brought from home. Children were actively supervised at all times. Interactions were positive and encouraging. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, there was one (1) of nine (9) children that did not have a documented arrival time for today. 10A NCAC 09 .0302(d)(4) Technical Assistance provided as follows: Item #125 The missing sign in was documented during the visit today. This was corrected. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Consultation provided as follows: We discussed that two (2) staff members were unable to attend the meeting on 8/23/23, in which the written plan was discussed according to the Step #4 of the Corrective Action plan. Please notify me when these two (2) staff members have been informed of the plan and provide documentation of this meeting. Plan to contact Buncombe County Environmental Health to make them aware the facility is coming up on one year from the last sanitation inspection, which was conducted on 9/12/22. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Plan to conduct a fire drill, shelter in place or lockdown drill and a playground inspection by the end of the month. There was a Starbucks coffee cup in classroom space 2. Moving forward, plan to pour drinks that do not meet nutrition guidelines into opaque cups or thermoses. Please see the rule reference below for details. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Staff member CF must renew their CPR/First Aid Training by 10/29/23. We discussed the fall zone around the climber on the playground. Plan to ensure all unanchored equipment is kept six (6) feet away from the anchored climbing structure. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We discussed that the regular off-premise activities are posted on the schedule in each classroom. For other off-premise activities that occur throughout the year such as farm day, field day, etc., plan to post a schedule of these activities as they occur. We discussed a simple way of accomplishing this can be posting an un signed permission form for the off-premise activity that includes the date/time of the activity on the bulletin board in the classroom. 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 .0901 · Violation

Name of Operation: ASHEVILLE CATHOLIC SCHOOL Facility ID: 1155191 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 8/24/2023 Number Present: 17 Completed Date: 8/24/2023 Age: From 4 To 5 Total Minutes: 155 Time In: 09:25 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Admin Action Follow-Up Lic Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Administrative Action Follow-up visit. The Administrative Action was issued on 5/11/23. Monica Houck, Lead Child Care Consultant, accompanied me on today’s 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 Mike Miller, Principal, during the visit. An electronically signed copy of the visit summary was emailed to you. Limited monitoring was conducted today including supervision, discipline, staff/child ratio, group size, licensed capacity, permit restrictions, CPR/First Aid training, Criminal Background Check, staff files, program records and children’s files. The program is operating on a Notice of Compliance issued 4/19/22. Restrictions include 1st shift (daytime care). The 2022-2023 school year ended on 6/2/23 and the 2023-2024 school year began on 8/17/23. The child care facility was closed when school was not in session. Upon arrival we were greeted by Mike Miller, Principal. The Administrative Action was not posted in the office. Clarification was provided on the timeline that the Action is required to be posted. Plan to keep the Notice of Administrative Action, cover letter, and Corrective Action Plan posted for three months and until receipt of a closure letter from the Division of Child Development and Early Education stating that the Corrective Action Plan has been completed. Mr. Miller posted the Administrative Action at the front desk once the additional stipulation of the closure letter and beyond the three months was explained. Compliance for the Corrective Action Plan (CAP) was monitored as follows: Item #1- No violations were observed today related to the requirements included in this stipulation. This item is in compliance. Item #2- Mr. Miller contacted Ms. Houck on 5/19/2023 to schedule a Rules Review on 8/8/2023. The Rules Review was completed on 8/8/2023. This item is in compliance. Item #3- The written plan was submitted on 8/21/23. The written plan was approved on 8/22/23. Mr. Miller was notified verbally and in writing of this approval on 8/22/23. This item is in compliance. Item #4- A staff meeting was held at the facility on 8/23/23. Two (2) staff members were unable to attend the meeting. This item is partially complete. Documentation was maintained on file as required in the CAP including Rules Review attendance roster, written plan, staff meeting minutes and staff meeting roster. In classroom space 1, there were nine (9) children, ages four and five, present with two (2) caregivers. One of the caregivers was a substitute. In classroom space 2, there were eight (8) children, ages four and five, present with two (2) caregivers. In classroom space 2, children were observed climbing, running, and engaged in a make-believe lava game on the playground. In classroom space 1, children were observed transitioning indoors, washed hands and ate snack brought from home. Children were actively supervised at all times. Interactions were positive and encouraging. The following violations were cited during today’s visit: Violation Number Comment Rule 125 Daily records of arrival and departure times for children enrolled at the center were not maintained as children arrive and depart and/or were not made available for review. In space #1, there was one (1) of nine (9) children that did not have a documented arrival time for today. 10A NCAC 09 .0302(d)(4) Technical Assistance provided as follows: Item #125 The missing sign in was documented during the visit today. This was corrected. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (4) daily records of arrival and departure times at the center for each child which shall be maintained as children arrive and depart; Consultation provided as follows: We discussed that two (2) staff members were unable to attend the meeting on 8/23/23, in which the written plan was discussed according to the Step #4 of the Corrective Action plan. Please notify me when these two (2) staff members have been informed of the plan and provide documentation of this meeting. Plan to contact Buncombe County Environmental Health to make them aware the facility is coming up on one year from the last sanitation inspection, which was conducted on 9/12/22. 10A NCAC 09 .0304 ON-GOING REQUIREMENTS FOR A LICENSE (b) Each center shall be inspected annually by an Environmental Health Specialist and receive an approved or superior rating in accordance with applicable sanitation requirements adopted by the Commission for Public Health as described in 15A NCAC 18A .2800. Plan to conduct a fire drill, shelter in place or lockdown drill and a playground inspection by the end of the month. There was a Starbucks coffee cup in classroom space 2. Moving forward, plan to pour drinks that do not meet nutrition guidelines into opaque cups or thermoses. Please see the rule reference below for details. 10A NCAC 09 .0901 GENERAL NUTRITION REQUIREMENTS (j) Staff shall role model appropriate eating behaviors by consuming only food or beverages that meet the nutritional requirements specified in Paragraph (a) of this Rule in the presence of children in care. Staff member CF must renew their CPR/First Aid Training by 10/29/23. We discussed the fall zone around the climber on the playground. Plan to ensure all unanchored equipment is kept six (6) feet away from the anchored climbing structure. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; We discussed that the regular off-premise activities are posted on the schedule in each classroom. For other off-premise activities that occur throughout the year such as farm day, field day, etc., plan to post a schedule of these activities as they occur. We discussed a simple way of accomplishing this can be posting an un signed permission form for the off-premise activity that includes the date/time of the activity on the bulletin board in the classroom. 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