Asheville Jewish Community Center

10A NCAC 09 .0604 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/2/2026 Number Present: 100 Completed Date: 6/2/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams and Daniel Smedley, Administrator, were present and available to ask and answer questions throughout the visit today. An Administrative Action-Written Warning was issued to the facility on 5/28/26. The facility had not received the Administrative Action at the time of the visit today. A copy of the Administrative Action was provided to you during the visit today. The Administrative Action was posted on the glass by the entrance to early childhood classroom hallway. We discussed the Corrective Action Plan (CAP) and you were given an opportunity to ask questions. We also discussed the appeal process that is outlined on the last page of the Administrative Action. You stated you would not like to appeal the Written Warning issued on 5/28/26, at this time. The appeal deadline is 6/27/26. A walkthrough of caregiving spaces was conducted for the purposes of monitoring areas listed in Child Care Rule .2201(j) as well as CAP item #1. Upon arrival, I was greeted by Amber Williams. Ms. Williams accompanied me on a walkthrough of all caregiving spaces. Supervision was adequate. Interactions were positive and nurturing. Staff/child ratios and group sizes were maintained appropriately. The staff and training worksheet completed on 4/14/26 was used as a guide for monitoring CPR/First Aid, ITS-SIDS, health and safety and on-going training requirements. The ABCMS website was used to review current staff’s criminal background check statuses. The roster was recently updated to include newly hired staff. The qualification letters for staff are maintained in the digital staff files. We discussed the CAP as follows: CAP Item #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statutes §§ 110-90.2(b), 110-90.2(b) & (d) and Child Care Rule 10A NCAC 09 .2703(n)&(o), .2703(e) and .2703(r) regarding criminal records • North Carolina General Statute § 110-91(9) regarding staff records • Child Care Requirements 10A NCAC 09 .0803 (12) and .0803(4)(6-9) regarding administering medication • Sanitation Requirement 15A NCAC 18A 2820(b) regarding storage of hazardous substances • Child Care Requirements 10A NCAC 09.0606(a)(1-8) regarding safe sleep practices • Sanitation Requirement 15A NCAC 09 .2803(a)(c) regarding hand washing • Child Care Requirements 10A NCAC 09 .1101(a)(b), .1102(a), .1103(a) regarding in-service training • Child Care Requirements 10A NCAC 09 .0514(f) regarding program records • Child Care Requirements 10A NCAC 09 .0801(a), .0802(d) regarding children’s records Hazardous products were observed in improper storage and some medication authorization forms were not completed accurately in multiple classrooms. Details are included below in the violation chart. This item is not currently in compliance. Please see details in the Technical Assistance section below for reaching compliance. CAP Item #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Robin Worley, Child Care Health Consultant, telephone number 828-772-0504, email robin.worley@mahec.net, to arrange for completion of the NC Health and Safety Assessment Encounter Tool, develop a quality improvement plan, and conduct a technical assistance visit. Special emphasis shall be placed on violations documented regarding medication administration, storage of hazardous products, facility’s safe sleep policy, staff and children handwashing. Ms. Williams contacted Ms. Worley during the visit today to begin the Technical Assistance process. This item is in compliance. CAP Item #3: 3. Within two (2) weeks after this Notice is received, Ms. Williams shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to staff records, in-service training hours and criminal records check completion. The written plan shall include, but not be limited to, the following: • Implementation of a staff file checklist • Designation of staff member(s) responsible for reviewing files • Schedule of file reviews • Steps to take when information is missing • Identification of each staff member, their position, and the number of training hours required based on their position, education, and experience • Designation of administrative staff member responsible for reviewing and updating all staff training information • Steps to be taken when training is not completed by staff members in a timely manner • Ensuring each staff member is entered into the ABCMS Provider Portal • Designation of staff member(s) responsible for reviewing criminal background checks • Steps to take when the letter is missing from the file or has expired The written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for review. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan meets the requirements of this stipulation or if modifications are needed. Once the notification of the stipulation being met is received, the written plan shall be immediately implemented and incorporated into operating procedures. A copy of the written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. We discussed ideas for the plan implementation including how to divide responsibilities for staff file maintenance, schedule of file reviews, and one on one check-ins with staff to include review of a staff file checklist. Plan to send me the written plan by 6/16/26. If you require additional time to complete this item, please let me know. This item is in compliance. 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 819 Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage. A lighter was observed in an unlocked cabinet in classroom space 2. 10A NCAC 09 .0604(g) 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. Pressurized bear horns were observed in the unlocked ready-to-go bags for classrooms 1, 2, and 5. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid certificates for two (2) staff expired on 5/7/26 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR certificates for two (2) staff expired on 5/7/26 .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Four (4) topical medication administration permission forms in classroom space 7 did not include the manner in which the medication is to be applied. Two (2) diaper creams for one (1) child and one (1) diaper cream for one (1) child in classroom space 12 did not have a medication administration permission form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance provided as follows: Item #819: The lighter was removed from the classroom and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. Item #840: The bear horns were removed from the bags and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. We discussed bears are prevalent in the area and staff feel more comfortable if they have bear horns hen walking in the surrounding neighborhood. Staff can keep the bear horns in a locked compartment of the backpack or a locked bank bag, and can take the bear horn out when they begin their walk to the pool or other off-premise activity. Upon arrival to the destination, staff would be required to place the horn back into locked storage. Item #1048 and #1049: To reach compliance with this item, staff MCW and JG must complete CPR/First Aid training from an approved source. The list of approved trainers was included in the email containing this visit summary. You stated the staff may be able to take training from an in-house trainer next week during teacher work days. In your letter of compliance, please include a statement that indicates the staff have completed the training and documentation is maintained on file. We discussed the certificate is not always instantly available after the training is completed. If this is the case, plan to maintain another form of documentation on file such as a sign in sheet, roster, or an email from the trainer stating they have completed the in-person skills training. Item #1882: We discussed some parents fill out a form for “diaper cream” but send in two different diaper creams that contain different medication. A separate form giving the caregiver permission to administer the medication must be completed for each different medication. For example, if a parent sends in a product from one brand that contains zinc oxide and a product from another brand that contains petrolatum, a separate form must be completed for each product as the medications may have different effects on the child. Additionally, we discussed forms must be entirely completed before medication is administered. For topical medication, this can be difficult to describe as applying topicals is often second nature for caregivers. Encourage parents to use statements such as “rub quarter-size amount into exposed skin until lotion is no longer visible” for sunscreen or “rub dime sized amount onto skin with a rash” for diaper rash cream. Additionally, parents can review the medication’s container to see if directions are provided and simply copy those directions onto the form. In your letter of compliance, include a statement that indicates the four (4) forms in classroom space 7 have been completed and the permissions for the three (3) diaper creams in classroom space 12 are on file. Alternatively, you can return the medications to the parents to reach compliance. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period Consultation is provided as follows: We discussed the Community Center that houses the licensed child care facility has multiple staff that may or may not work with aspects of the child care program. We discussed some of these staff may be required to have a criminal background check qualification letter on file. We discussed the Community Center requires staff to have a background check that is different from the DCDEE Child Care criminal background check. We discussed staff who regularly work in the facility near children, such as maintenance and front desk staff who may need to have a Criminal Background Check qualification letter on file. Additional guidance is needed to provide clarifying information. We discussed I will follow up with you via email on this requirement. 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 .0514 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/2/2026 Number Present: 100 Completed Date: 6/2/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams and Daniel Smedley, Administrator, were present and available to ask and answer questions throughout the visit today. An Administrative Action-Written Warning was issued to the facility on 5/28/26. The facility had not received the Administrative Action at the time of the visit today. A copy of the Administrative Action was provided to you during the visit today. The Administrative Action was posted on the glass by the entrance to early childhood classroom hallway. We discussed the Corrective Action Plan (CAP) and you were given an opportunity to ask questions. We also discussed the appeal process that is outlined on the last page of the Administrative Action. You stated you would not like to appeal the Written Warning issued on 5/28/26, at this time. The appeal deadline is 6/27/26. A walkthrough of caregiving spaces was conducted for the purposes of monitoring areas listed in Child Care Rule .2201(j) as well as CAP item #1. Upon arrival, I was greeted by Amber Williams. Ms. Williams accompanied me on a walkthrough of all caregiving spaces. Supervision was adequate. Interactions were positive and nurturing. Staff/child ratios and group sizes were maintained appropriately. The staff and training worksheet completed on 4/14/26 was used as a guide for monitoring CPR/First Aid, ITS-SIDS, health and safety and on-going training requirements. The ABCMS website was used to review current staff’s criminal background check statuses. The roster was recently updated to include newly hired staff. The qualification letters for staff are maintained in the digital staff files. We discussed the CAP as follows: CAP Item #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statutes §§ 110-90.2(b), 110-90.2(b) & (d) and Child Care Rule 10A NCAC 09 .2703(n)&(o), .2703(e) and .2703(r) regarding criminal records • North Carolina General Statute § 110-91(9) regarding staff records • Child Care Requirements 10A NCAC 09 .0803 (12) and .0803(4)(6-9) regarding administering medication • Sanitation Requirement 15A NCAC 18A 2820(b) regarding storage of hazardous substances • Child Care Requirements 10A NCAC 09.0606(a)(1-8) regarding safe sleep practices • Sanitation Requirement 15A NCAC 09 .2803(a)(c) regarding hand washing • Child Care Requirements 10A NCAC 09 .1101(a)(b), .1102(a), .1103(a) regarding in-service training • Child Care Requirements 10A NCAC 09 .0514(f) regarding program records • Child Care Requirements 10A NCAC 09 .0801(a), .0802(d) regarding children’s records Hazardous products were observed in improper storage and some medication authorization forms were not completed accurately in multiple classrooms. Details are included below in the violation chart. This item is not currently in compliance. Please see details in the Technical Assistance section below for reaching compliance. CAP Item #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Robin Worley, Child Care Health Consultant, telephone number 828-772-0504, email robin.worley@mahec.net, to arrange for completion of the NC Health and Safety Assessment Encounter Tool, develop a quality improvement plan, and conduct a technical assistance visit. Special emphasis shall be placed on violations documented regarding medication administration, storage of hazardous products, facility’s safe sleep policy, staff and children handwashing. Ms. Williams contacted Ms. Worley during the visit today to begin the Technical Assistance process. This item is in compliance. CAP Item #3: 3. Within two (2) weeks after this Notice is received, Ms. Williams shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to staff records, in-service training hours and criminal records check completion. The written plan shall include, but not be limited to, the following: • Implementation of a staff file checklist • Designation of staff member(s) responsible for reviewing files • Schedule of file reviews • Steps to take when information is missing • Identification of each staff member, their position, and the number of training hours required based on their position, education, and experience • Designation of administrative staff member responsible for reviewing and updating all staff training information • Steps to be taken when training is not completed by staff members in a timely manner • Ensuring each staff member is entered into the ABCMS Provider Portal • Designation of staff member(s) responsible for reviewing criminal background checks • Steps to take when the letter is missing from the file or has expired The written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for review. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan meets the requirements of this stipulation or if modifications are needed. Once the notification of the stipulation being met is received, the written plan shall be immediately implemented and incorporated into operating procedures. A copy of the written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. We discussed ideas for the plan implementation including how to divide responsibilities for staff file maintenance, schedule of file reviews, and one on one check-ins with staff to include review of a staff file checklist. Plan to send me the written plan by 6/16/26. If you require additional time to complete this item, please let me know. This item is in compliance. 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 819 Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage. A lighter was observed in an unlocked cabinet in classroom space 2. 10A NCAC 09 .0604(g) 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. Pressurized bear horns were observed in the unlocked ready-to-go bags for classrooms 1, 2, and 5. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid certificates for two (2) staff expired on 5/7/26 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR certificates for two (2) staff expired on 5/7/26 .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Four (4) topical medication administration permission forms in classroom space 7 did not include the manner in which the medication is to be applied. Two (2) diaper creams for one (1) child and one (1) diaper cream for one (1) child in classroom space 12 did not have a medication administration permission form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance provided as follows: Item #819: The lighter was removed from the classroom and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. Item #840: The bear horns were removed from the bags and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. We discussed bears are prevalent in the area and staff feel more comfortable if they have bear horns hen walking in the surrounding neighborhood. Staff can keep the bear horns in a locked compartment of the backpack or a locked bank bag, and can take the bear horn out when they begin their walk to the pool or other off-premise activity. Upon arrival to the destination, staff would be required to place the horn back into locked storage. Item #1048 and #1049: To reach compliance with this item, staff MCW and JG must complete CPR/First Aid training from an approved source. The list of approved trainers was included in the email containing this visit summary. You stated the staff may be able to take training from an in-house trainer next week during teacher work days. In your letter of compliance, please include a statement that indicates the staff have completed the training and documentation is maintained on file. We discussed the certificate is not always instantly available after the training is completed. If this is the case, plan to maintain another form of documentation on file such as a sign in sheet, roster, or an email from the trainer stating they have completed the in-person skills training. Item #1882: We discussed some parents fill out a form for “diaper cream” but send in two different diaper creams that contain different medication. A separate form giving the caregiver permission to administer the medication must be completed for each different medication. For example, if a parent sends in a product from one brand that contains zinc oxide and a product from another brand that contains petrolatum, a separate form must be completed for each product as the medications may have different effects on the child. Additionally, we discussed forms must be entirely completed before medication is administered. For topical medication, this can be difficult to describe as applying topicals is often second nature for caregivers. Encourage parents to use statements such as “rub quarter-size amount into exposed skin until lotion is no longer visible” for sunscreen or “rub dime sized amount onto skin with a rash” for diaper rash cream. Additionally, parents can review the medication’s container to see if directions are provided and simply copy those directions onto the form. In your letter of compliance, include a statement that indicates the four (4) forms in classroom space 7 have been completed and the permissions for the three (3) diaper creams in classroom space 12 are on file. Alternatively, you can return the medications to the parents to reach compliance. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period Consultation is provided as follows: We discussed the Community Center that houses the licensed child care facility has multiple staff that may or may not work with aspects of the child care program. We discussed some of these staff may be required to have a criminal background check qualification letter on file. We discussed the Community Center requires staff to have a background check that is different from the DCDEE Child Care criminal background check. We discussed staff who regularly work in the facility near children, such as maintenance and front desk staff who may need to have a Criminal Background Check qualification letter on file. Additional guidance is needed to provide clarifying information. We discussed I will follow up with you via email on this requirement. 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 .0801 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/2/2026 Number Present: 100 Completed Date: 6/2/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams and Daniel Smedley, Administrator, were present and available to ask and answer questions throughout the visit today. An Administrative Action-Written Warning was issued to the facility on 5/28/26. The facility had not received the Administrative Action at the time of the visit today. A copy of the Administrative Action was provided to you during the visit today. The Administrative Action was posted on the glass by the entrance to early childhood classroom hallway. We discussed the Corrective Action Plan (CAP) and you were given an opportunity to ask questions. We also discussed the appeal process that is outlined on the last page of the Administrative Action. You stated you would not like to appeal the Written Warning issued on 5/28/26, at this time. The appeal deadline is 6/27/26. A walkthrough of caregiving spaces was conducted for the purposes of monitoring areas listed in Child Care Rule .2201(j) as well as CAP item #1. Upon arrival, I was greeted by Amber Williams. Ms. Williams accompanied me on a walkthrough of all caregiving spaces. Supervision was adequate. Interactions were positive and nurturing. Staff/child ratios and group sizes were maintained appropriately. The staff and training worksheet completed on 4/14/26 was used as a guide for monitoring CPR/First Aid, ITS-SIDS, health and safety and on-going training requirements. The ABCMS website was used to review current staff’s criminal background check statuses. The roster was recently updated to include newly hired staff. The qualification letters for staff are maintained in the digital staff files. We discussed the CAP as follows: CAP Item #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statutes §§ 110-90.2(b), 110-90.2(b) & (d) and Child Care Rule 10A NCAC 09 .2703(n)&(o), .2703(e) and .2703(r) regarding criminal records • North Carolina General Statute § 110-91(9) regarding staff records • Child Care Requirements 10A NCAC 09 .0803 (12) and .0803(4)(6-9) regarding administering medication • Sanitation Requirement 15A NCAC 18A 2820(b) regarding storage of hazardous substances • Child Care Requirements 10A NCAC 09.0606(a)(1-8) regarding safe sleep practices • Sanitation Requirement 15A NCAC 09 .2803(a)(c) regarding hand washing • Child Care Requirements 10A NCAC 09 .1101(a)(b), .1102(a), .1103(a) regarding in-service training • Child Care Requirements 10A NCAC 09 .0514(f) regarding program records • Child Care Requirements 10A NCAC 09 .0801(a), .0802(d) regarding children’s records Hazardous products were observed in improper storage and some medication authorization forms were not completed accurately in multiple classrooms. Details are included below in the violation chart. This item is not currently in compliance. Please see details in the Technical Assistance section below for reaching compliance. CAP Item #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Robin Worley, Child Care Health Consultant, telephone number 828-772-0504, email robin.worley@mahec.net, to arrange for completion of the NC Health and Safety Assessment Encounter Tool, develop a quality improvement plan, and conduct a technical assistance visit. Special emphasis shall be placed on violations documented regarding medication administration, storage of hazardous products, facility’s safe sleep policy, staff and children handwashing. Ms. Williams contacted Ms. Worley during the visit today to begin the Technical Assistance process. This item is in compliance. CAP Item #3: 3. Within two (2) weeks after this Notice is received, Ms. Williams shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to staff records, in-service training hours and criminal records check completion. The written plan shall include, but not be limited to, the following: • Implementation of a staff file checklist • Designation of staff member(s) responsible for reviewing files • Schedule of file reviews • Steps to take when information is missing • Identification of each staff member, their position, and the number of training hours required based on their position, education, and experience • Designation of administrative staff member responsible for reviewing and updating all staff training information • Steps to be taken when training is not completed by staff members in a timely manner • Ensuring each staff member is entered into the ABCMS Provider Portal • Designation of staff member(s) responsible for reviewing criminal background checks • Steps to take when the letter is missing from the file or has expired The written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for review. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan meets the requirements of this stipulation or if modifications are needed. Once the notification of the stipulation being met is received, the written plan shall be immediately implemented and incorporated into operating procedures. A copy of the written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. We discussed ideas for the plan implementation including how to divide responsibilities for staff file maintenance, schedule of file reviews, and one on one check-ins with staff to include review of a staff file checklist. Plan to send me the written plan by 6/16/26. If you require additional time to complete this item, please let me know. This item is in compliance. 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 819 Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage. A lighter was observed in an unlocked cabinet in classroom space 2. 10A NCAC 09 .0604(g) 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. Pressurized bear horns were observed in the unlocked ready-to-go bags for classrooms 1, 2, and 5. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid certificates for two (2) staff expired on 5/7/26 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR certificates for two (2) staff expired on 5/7/26 .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Four (4) topical medication administration permission forms in classroom space 7 did not include the manner in which the medication is to be applied. Two (2) diaper creams for one (1) child and one (1) diaper cream for one (1) child in classroom space 12 did not have a medication administration permission form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance provided as follows: Item #819: The lighter was removed from the classroom and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. Item #840: The bear horns were removed from the bags and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. We discussed bears are prevalent in the area and staff feel more comfortable if they have bear horns hen walking in the surrounding neighborhood. Staff can keep the bear horns in a locked compartment of the backpack or a locked bank bag, and can take the bear horn out when they begin their walk to the pool or other off-premise activity. Upon arrival to the destination, staff would be required to place the horn back into locked storage. Item #1048 and #1049: To reach compliance with this item, staff MCW and JG must complete CPR/First Aid training from an approved source. The list of approved trainers was included in the email containing this visit summary. You stated the staff may be able to take training from an in-house trainer next week during teacher work days. In your letter of compliance, please include a statement that indicates the staff have completed the training and documentation is maintained on file. We discussed the certificate is not always instantly available after the training is completed. If this is the case, plan to maintain another form of documentation on file such as a sign in sheet, roster, or an email from the trainer stating they have completed the in-person skills training. Item #1882: We discussed some parents fill out a form for “diaper cream” but send in two different diaper creams that contain different medication. A separate form giving the caregiver permission to administer the medication must be completed for each different medication. For example, if a parent sends in a product from one brand that contains zinc oxide and a product from another brand that contains petrolatum, a separate form must be completed for each product as the medications may have different effects on the child. Additionally, we discussed forms must be entirely completed before medication is administered. For topical medication, this can be difficult to describe as applying topicals is often second nature for caregivers. Encourage parents to use statements such as “rub quarter-size amount into exposed skin until lotion is no longer visible” for sunscreen or “rub dime sized amount onto skin with a rash” for diaper rash cream. Additionally, parents can review the medication’s container to see if directions are provided and simply copy those directions onto the form. In your letter of compliance, include a statement that indicates the four (4) forms in classroom space 7 have been completed and the permissions for the three (3) diaper creams in classroom space 12 are on file. Alternatively, you can return the medications to the parents to reach compliance. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period Consultation is provided as follows: We discussed the Community Center that houses the licensed child care facility has multiple staff that may or may not work with aspects of the child care program. We discussed some of these staff may be required to have a criminal background check qualification letter on file. We discussed the Community Center requires staff to have a background check that is different from the DCDEE Child Care criminal background check. We discussed staff who regularly work in the facility near children, such as maintenance and front desk staff who may need to have a Criminal Background Check qualification letter on file. Additional guidance is needed to provide clarifying information. We discussed I will follow up with you via email on this requirement. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/2/2026 Number Present: 100 Completed Date: 6/2/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams and Daniel Smedley, Administrator, were present and available to ask and answer questions throughout the visit today. An Administrative Action-Written Warning was issued to the facility on 5/28/26. The facility had not received the Administrative Action at the time of the visit today. A copy of the Administrative Action was provided to you during the visit today. The Administrative Action was posted on the glass by the entrance to early childhood classroom hallway. We discussed the Corrective Action Plan (CAP) and you were given an opportunity to ask questions. We also discussed the appeal process that is outlined on the last page of the Administrative Action. You stated you would not like to appeal the Written Warning issued on 5/28/26, at this time. The appeal deadline is 6/27/26. A walkthrough of caregiving spaces was conducted for the purposes of monitoring areas listed in Child Care Rule .2201(j) as well as CAP item #1. Upon arrival, I was greeted by Amber Williams. Ms. Williams accompanied me on a walkthrough of all caregiving spaces. Supervision was adequate. Interactions were positive and nurturing. Staff/child ratios and group sizes were maintained appropriately. The staff and training worksheet completed on 4/14/26 was used as a guide for monitoring CPR/First Aid, ITS-SIDS, health and safety and on-going training requirements. The ABCMS website was used to review current staff’s criminal background check statuses. The roster was recently updated to include newly hired staff. The qualification letters for staff are maintained in the digital staff files. We discussed the CAP as follows: CAP Item #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statutes §§ 110-90.2(b), 110-90.2(b) & (d) and Child Care Rule 10A NCAC 09 .2703(n)&(o), .2703(e) and .2703(r) regarding criminal records • North Carolina General Statute § 110-91(9) regarding staff records • Child Care Requirements 10A NCAC 09 .0803 (12) and .0803(4)(6-9) regarding administering medication • Sanitation Requirement 15A NCAC 18A 2820(b) regarding storage of hazardous substances • Child Care Requirements 10A NCAC 09.0606(a)(1-8) regarding safe sleep practices • Sanitation Requirement 15A NCAC 09 .2803(a)(c) regarding hand washing • Child Care Requirements 10A NCAC 09 .1101(a)(b), .1102(a), .1103(a) regarding in-service training • Child Care Requirements 10A NCAC 09 .0514(f) regarding program records • Child Care Requirements 10A NCAC 09 .0801(a), .0802(d) regarding children’s records Hazardous products were observed in improper storage and some medication authorization forms were not completed accurately in multiple classrooms. Details are included below in the violation chart. This item is not currently in compliance. Please see details in the Technical Assistance section below for reaching compliance. CAP Item #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Robin Worley, Child Care Health Consultant, telephone number 828-772-0504, email robin.worley@mahec.net, to arrange for completion of the NC Health and Safety Assessment Encounter Tool, develop a quality improvement plan, and conduct a technical assistance visit. Special emphasis shall be placed on violations documented regarding medication administration, storage of hazardous products, facility’s safe sleep policy, staff and children handwashing. Ms. Williams contacted Ms. Worley during the visit today to begin the Technical Assistance process. This item is in compliance. CAP Item #3: 3. Within two (2) weeks after this Notice is received, Ms. Williams shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to staff records, in-service training hours and criminal records check completion. The written plan shall include, but not be limited to, the following: • Implementation of a staff file checklist • Designation of staff member(s) responsible for reviewing files • Schedule of file reviews • Steps to take when information is missing • Identification of each staff member, their position, and the number of training hours required based on their position, education, and experience • Designation of administrative staff member responsible for reviewing and updating all staff training information • Steps to be taken when training is not completed by staff members in a timely manner • Ensuring each staff member is entered into the ABCMS Provider Portal • Designation of staff member(s) responsible for reviewing criminal background checks • Steps to take when the letter is missing from the file or has expired The written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for review. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan meets the requirements of this stipulation or if modifications are needed. Once the notification of the stipulation being met is received, the written plan shall be immediately implemented and incorporated into operating procedures. A copy of the written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. We discussed ideas for the plan implementation including how to divide responsibilities for staff file maintenance, schedule of file reviews, and one on one check-ins with staff to include review of a staff file checklist. Plan to send me the written plan by 6/16/26. If you require additional time to complete this item, please let me know. This item is in compliance. 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 819 Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage. A lighter was observed in an unlocked cabinet in classroom space 2. 10A NCAC 09 .0604(g) 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. Pressurized bear horns were observed in the unlocked ready-to-go bags for classrooms 1, 2, and 5. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid certificates for two (2) staff expired on 5/7/26 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR certificates for two (2) staff expired on 5/7/26 .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Four (4) topical medication administration permission forms in classroom space 7 did not include the manner in which the medication is to be applied. Two (2) diaper creams for one (1) child and one (1) diaper cream for one (1) child in classroom space 12 did not have a medication administration permission form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance provided as follows: Item #819: The lighter was removed from the classroom and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. Item #840: The bear horns were removed from the bags and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. We discussed bears are prevalent in the area and staff feel more comfortable if they have bear horns hen walking in the surrounding neighborhood. Staff can keep the bear horns in a locked compartment of the backpack or a locked bank bag, and can take the bear horn out when they begin their walk to the pool or other off-premise activity. Upon arrival to the destination, staff would be required to place the horn back into locked storage. Item #1048 and #1049: To reach compliance with this item, staff MCW and JG must complete CPR/First Aid training from an approved source. The list of approved trainers was included in the email containing this visit summary. You stated the staff may be able to take training from an in-house trainer next week during teacher work days. In your letter of compliance, please include a statement that indicates the staff have completed the training and documentation is maintained on file. We discussed the certificate is not always instantly available after the training is completed. If this is the case, plan to maintain another form of documentation on file such as a sign in sheet, roster, or an email from the trainer stating they have completed the in-person skills training. Item #1882: We discussed some parents fill out a form for “diaper cream” but send in two different diaper creams that contain different medication. A separate form giving the caregiver permission to administer the medication must be completed for each different medication. For example, if a parent sends in a product from one brand that contains zinc oxide and a product from another brand that contains petrolatum, a separate form must be completed for each product as the medications may have different effects on the child. Additionally, we discussed forms must be entirely completed before medication is administered. For topical medication, this can be difficult to describe as applying topicals is often second nature for caregivers. Encourage parents to use statements such as “rub quarter-size amount into exposed skin until lotion is no longer visible” for sunscreen or “rub dime sized amount onto skin with a rash” for diaper rash cream. Additionally, parents can review the medication’s container to see if directions are provided and simply copy those directions onto the form. In your letter of compliance, include a statement that indicates the four (4) forms in classroom space 7 have been completed and the permissions for the three (3) diaper creams in classroom space 12 are on file. Alternatively, you can return the medications to the parents to reach compliance. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period Consultation is provided as follows: We discussed the Community Center that houses the licensed child care facility has multiple staff that may or may not work with aspects of the child care program. We discussed some of these staff may be required to have a criminal background check qualification letter on file. We discussed the Community Center requires staff to have a background check that is different from the DCDEE Child Care criminal background check. We discussed staff who regularly work in the facility near children, such as maintenance and front desk staff who may need to have a Criminal Background Check qualification letter on file. Additional guidance is needed to provide clarifying information. We discussed I will follow up with you via email on this requirement. 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 .1101 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/2/2026 Number Present: 100 Completed Date: 6/2/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams and Daniel Smedley, Administrator, were present and available to ask and answer questions throughout the visit today. An Administrative Action-Written Warning was issued to the facility on 5/28/26. The facility had not received the Administrative Action at the time of the visit today. A copy of the Administrative Action was provided to you during the visit today. The Administrative Action was posted on the glass by the entrance to early childhood classroom hallway. We discussed the Corrective Action Plan (CAP) and you were given an opportunity to ask questions. We also discussed the appeal process that is outlined on the last page of the Administrative Action. You stated you would not like to appeal the Written Warning issued on 5/28/26, at this time. The appeal deadline is 6/27/26. A walkthrough of caregiving spaces was conducted for the purposes of monitoring areas listed in Child Care Rule .2201(j) as well as CAP item #1. Upon arrival, I was greeted by Amber Williams. Ms. Williams accompanied me on a walkthrough of all caregiving spaces. Supervision was adequate. Interactions were positive and nurturing. Staff/child ratios and group sizes were maintained appropriately. The staff and training worksheet completed on 4/14/26 was used as a guide for monitoring CPR/First Aid, ITS-SIDS, health and safety and on-going training requirements. The ABCMS website was used to review current staff’s criminal background check statuses. The roster was recently updated to include newly hired staff. The qualification letters for staff are maintained in the digital staff files. We discussed the CAP as follows: CAP Item #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statutes §§ 110-90.2(b), 110-90.2(b) & (d) and Child Care Rule 10A NCAC 09 .2703(n)&(o), .2703(e) and .2703(r) regarding criminal records • North Carolina General Statute § 110-91(9) regarding staff records • Child Care Requirements 10A NCAC 09 .0803 (12) and .0803(4)(6-9) regarding administering medication • Sanitation Requirement 15A NCAC 18A 2820(b) regarding storage of hazardous substances • Child Care Requirements 10A NCAC 09.0606(a)(1-8) regarding safe sleep practices • Sanitation Requirement 15A NCAC 09 .2803(a)(c) regarding hand washing • Child Care Requirements 10A NCAC 09 .1101(a)(b), .1102(a), .1103(a) regarding in-service training • Child Care Requirements 10A NCAC 09 .0514(f) regarding program records • Child Care Requirements 10A NCAC 09 .0801(a), .0802(d) regarding children’s records Hazardous products were observed in improper storage and some medication authorization forms were not completed accurately in multiple classrooms. Details are included below in the violation chart. This item is not currently in compliance. Please see details in the Technical Assistance section below for reaching compliance. CAP Item #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Robin Worley, Child Care Health Consultant, telephone number 828-772-0504, email robin.worley@mahec.net, to arrange for completion of the NC Health and Safety Assessment Encounter Tool, develop a quality improvement plan, and conduct a technical assistance visit. Special emphasis shall be placed on violations documented regarding medication administration, storage of hazardous products, facility’s safe sleep policy, staff and children handwashing. Ms. Williams contacted Ms. Worley during the visit today to begin the Technical Assistance process. This item is in compliance. CAP Item #3: 3. Within two (2) weeks after this Notice is received, Ms. Williams shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to staff records, in-service training hours and criminal records check completion. The written plan shall include, but not be limited to, the following: • Implementation of a staff file checklist • Designation of staff member(s) responsible for reviewing files • Schedule of file reviews • Steps to take when information is missing • Identification of each staff member, their position, and the number of training hours required based on their position, education, and experience • Designation of administrative staff member responsible for reviewing and updating all staff training information • Steps to be taken when training is not completed by staff members in a timely manner • Ensuring each staff member is entered into the ABCMS Provider Portal • Designation of staff member(s) responsible for reviewing criminal background checks • Steps to take when the letter is missing from the file or has expired The written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for review. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan meets the requirements of this stipulation or if modifications are needed. Once the notification of the stipulation being met is received, the written plan shall be immediately implemented and incorporated into operating procedures. A copy of the written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. We discussed ideas for the plan implementation including how to divide responsibilities for staff file maintenance, schedule of file reviews, and one on one check-ins with staff to include review of a staff file checklist. Plan to send me the written plan by 6/16/26. If you require additional time to complete this item, please let me know. This item is in compliance. 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 819 Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage. A lighter was observed in an unlocked cabinet in classroom space 2. 10A NCAC 09 .0604(g) 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. Pressurized bear horns were observed in the unlocked ready-to-go bags for classrooms 1, 2, and 5. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid certificates for two (2) staff expired on 5/7/26 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR certificates for two (2) staff expired on 5/7/26 .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Four (4) topical medication administration permission forms in classroom space 7 did not include the manner in which the medication is to be applied. Two (2) diaper creams for one (1) child and one (1) diaper cream for one (1) child in classroom space 12 did not have a medication administration permission form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance provided as follows: Item #819: The lighter was removed from the classroom and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. Item #840: The bear horns were removed from the bags and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. We discussed bears are prevalent in the area and staff feel more comfortable if they have bear horns hen walking in the surrounding neighborhood. Staff can keep the bear horns in a locked compartment of the backpack or a locked bank bag, and can take the bear horn out when they begin their walk to the pool or other off-premise activity. Upon arrival to the destination, staff would be required to place the horn back into locked storage. Item #1048 and #1049: To reach compliance with this item, staff MCW and JG must complete CPR/First Aid training from an approved source. The list of approved trainers was included in the email containing this visit summary. You stated the staff may be able to take training from an in-house trainer next week during teacher work days. In your letter of compliance, please include a statement that indicates the staff have completed the training and documentation is maintained on file. We discussed the certificate is not always instantly available after the training is completed. If this is the case, plan to maintain another form of documentation on file such as a sign in sheet, roster, or an email from the trainer stating they have completed the in-person skills training. Item #1882: We discussed some parents fill out a form for “diaper cream” but send in two different diaper creams that contain different medication. A separate form giving the caregiver permission to administer the medication must be completed for each different medication. For example, if a parent sends in a product from one brand that contains zinc oxide and a product from another brand that contains petrolatum, a separate form must be completed for each product as the medications may have different effects on the child. Additionally, we discussed forms must be entirely completed before medication is administered. For topical medication, this can be difficult to describe as applying topicals is often second nature for caregivers. Encourage parents to use statements such as “rub quarter-size amount into exposed skin until lotion is no longer visible” for sunscreen or “rub dime sized amount onto skin with a rash” for diaper rash cream. Additionally, parents can review the medication’s container to see if directions are provided and simply copy those directions onto the form. In your letter of compliance, include a statement that indicates the four (4) forms in classroom space 7 have been completed and the permissions for the three (3) diaper creams in classroom space 12 are on file. Alternatively, you can return the medications to the parents to reach compliance. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period Consultation is provided as follows: We discussed the Community Center that houses the licensed child care facility has multiple staff that may or may not work with aspects of the child care program. We discussed some of these staff may be required to have a criminal background check qualification letter on file. We discussed the Community Center requires staff to have a background check that is different from the DCDEE Child Care criminal background check. We discussed staff who regularly work in the facility near children, such as maintenance and front desk staff who may need to have a Criminal Background Check qualification letter on file. Additional guidance is needed to provide clarifying information. We discussed I will follow up with you via email on this requirement. 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 .2703 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/2/2026 Number Present: 100 Completed Date: 6/2/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams and Daniel Smedley, Administrator, were present and available to ask and answer questions throughout the visit today. An Administrative Action-Written Warning was issued to the facility on 5/28/26. The facility had not received the Administrative Action at the time of the visit today. A copy of the Administrative Action was provided to you during the visit today. The Administrative Action was posted on the glass by the entrance to early childhood classroom hallway. We discussed the Corrective Action Plan (CAP) and you were given an opportunity to ask questions. We also discussed the appeal process that is outlined on the last page of the Administrative Action. You stated you would not like to appeal the Written Warning issued on 5/28/26, at this time. The appeal deadline is 6/27/26. A walkthrough of caregiving spaces was conducted for the purposes of monitoring areas listed in Child Care Rule .2201(j) as well as CAP item #1. Upon arrival, I was greeted by Amber Williams. Ms. Williams accompanied me on a walkthrough of all caregiving spaces. Supervision was adequate. Interactions were positive and nurturing. Staff/child ratios and group sizes were maintained appropriately. The staff and training worksheet completed on 4/14/26 was used as a guide for monitoring CPR/First Aid, ITS-SIDS, health and safety and on-going training requirements. The ABCMS website was used to review current staff’s criminal background check statuses. The roster was recently updated to include newly hired staff. The qualification letters for staff are maintained in the digital staff files. We discussed the CAP as follows: CAP Item #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statutes §§ 110-90.2(b), 110-90.2(b) & (d) and Child Care Rule 10A NCAC 09 .2703(n)&(o), .2703(e) and .2703(r) regarding criminal records • North Carolina General Statute § 110-91(9) regarding staff records • Child Care Requirements 10A NCAC 09 .0803 (12) and .0803(4)(6-9) regarding administering medication • Sanitation Requirement 15A NCAC 18A 2820(b) regarding storage of hazardous substances • Child Care Requirements 10A NCAC 09.0606(a)(1-8) regarding safe sleep practices • Sanitation Requirement 15A NCAC 09 .2803(a)(c) regarding hand washing • Child Care Requirements 10A NCAC 09 .1101(a)(b), .1102(a), .1103(a) regarding in-service training • Child Care Requirements 10A NCAC 09 .0514(f) regarding program records • Child Care Requirements 10A NCAC 09 .0801(a), .0802(d) regarding children’s records Hazardous products were observed in improper storage and some medication authorization forms were not completed accurately in multiple classrooms. Details are included below in the violation chart. This item is not currently in compliance. Please see details in the Technical Assistance section below for reaching compliance. CAP Item #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Robin Worley, Child Care Health Consultant, telephone number 828-772-0504, email robin.worley@mahec.net, to arrange for completion of the NC Health and Safety Assessment Encounter Tool, develop a quality improvement plan, and conduct a technical assistance visit. Special emphasis shall be placed on violations documented regarding medication administration, storage of hazardous products, facility’s safe sleep policy, staff and children handwashing. Ms. Williams contacted Ms. Worley during the visit today to begin the Technical Assistance process. This item is in compliance. CAP Item #3: 3. Within two (2) weeks after this Notice is received, Ms. Williams shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to staff records, in-service training hours and criminal records check completion. The written plan shall include, but not be limited to, the following: • Implementation of a staff file checklist • Designation of staff member(s) responsible for reviewing files • Schedule of file reviews • Steps to take when information is missing • Identification of each staff member, their position, and the number of training hours required based on their position, education, and experience • Designation of administrative staff member responsible for reviewing and updating all staff training information • Steps to be taken when training is not completed by staff members in a timely manner • Ensuring each staff member is entered into the ABCMS Provider Portal • Designation of staff member(s) responsible for reviewing criminal background checks • Steps to take when the letter is missing from the file or has expired The written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for review. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan meets the requirements of this stipulation or if modifications are needed. Once the notification of the stipulation being met is received, the written plan shall be immediately implemented and incorporated into operating procedures. A copy of the written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. We discussed ideas for the plan implementation including how to divide responsibilities for staff file maintenance, schedule of file reviews, and one on one check-ins with staff to include review of a staff file checklist. Plan to send me the written plan by 6/16/26. If you require additional time to complete this item, please let me know. This item is in compliance. 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 819 Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage. A lighter was observed in an unlocked cabinet in classroom space 2. 10A NCAC 09 .0604(g) 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. Pressurized bear horns were observed in the unlocked ready-to-go bags for classrooms 1, 2, and 5. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid certificates for two (2) staff expired on 5/7/26 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR certificates for two (2) staff expired on 5/7/26 .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Four (4) topical medication administration permission forms in classroom space 7 did not include the manner in which the medication is to be applied. Two (2) diaper creams for one (1) child and one (1) diaper cream for one (1) child in classroom space 12 did not have a medication administration permission form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance provided as follows: Item #819: The lighter was removed from the classroom and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. Item #840: The bear horns were removed from the bags and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. We discussed bears are prevalent in the area and staff feel more comfortable if they have bear horns hen walking in the surrounding neighborhood. Staff can keep the bear horns in a locked compartment of the backpack or a locked bank bag, and can take the bear horn out when they begin their walk to the pool or other off-premise activity. Upon arrival to the destination, staff would be required to place the horn back into locked storage. Item #1048 and #1049: To reach compliance with this item, staff MCW and JG must complete CPR/First Aid training from an approved source. The list of approved trainers was included in the email containing this visit summary. You stated the staff may be able to take training from an in-house trainer next week during teacher work days. In your letter of compliance, please include a statement that indicates the staff have completed the training and documentation is maintained on file. We discussed the certificate is not always instantly available after the training is completed. If this is the case, plan to maintain another form of documentation on file such as a sign in sheet, roster, or an email from the trainer stating they have completed the in-person skills training. Item #1882: We discussed some parents fill out a form for “diaper cream” but send in two different diaper creams that contain different medication. A separate form giving the caregiver permission to administer the medication must be completed for each different medication. For example, if a parent sends in a product from one brand that contains zinc oxide and a product from another brand that contains petrolatum, a separate form must be completed for each product as the medications may have different effects on the child. Additionally, we discussed forms must be entirely completed before medication is administered. For topical medication, this can be difficult to describe as applying topicals is often second nature for caregivers. Encourage parents to use statements such as “rub quarter-size amount into exposed skin until lotion is no longer visible” for sunscreen or “rub dime sized amount onto skin with a rash” for diaper rash cream. Additionally, parents can review the medication’s container to see if directions are provided and simply copy those directions onto the form. In your letter of compliance, include a statement that indicates the four (4) forms in classroom space 7 have been completed and the permissions for the three (3) diaper creams in classroom space 12 are on file. Alternatively, you can return the medications to the parents to reach compliance. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period Consultation is provided as follows: We discussed the Community Center that houses the licensed child care facility has multiple staff that may or may not work with aspects of the child care program. We discussed some of these staff may be required to have a criminal background check qualification letter on file. We discussed the Community Center requires staff to have a background check that is different from the DCDEE Child Care criminal background check. We discussed staff who regularly work in the facility near children, such as maintenance and front desk staff who may need to have a Criminal Background Check qualification letter on file. Additional guidance is needed to provide clarifying information. We discussed I will follow up with you via email on this requirement. 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 09.0606 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/2/2026 Number Present: 100 Completed Date: 6/2/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams and Daniel Smedley, Administrator, were present and available to ask and answer questions throughout the visit today. An Administrative Action-Written Warning was issued to the facility on 5/28/26. The facility had not received the Administrative Action at the time of the visit today. A copy of the Administrative Action was provided to you during the visit today. The Administrative Action was posted on the glass by the entrance to early childhood classroom hallway. We discussed the Corrective Action Plan (CAP) and you were given an opportunity to ask questions. We also discussed the appeal process that is outlined on the last page of the Administrative Action. You stated you would not like to appeal the Written Warning issued on 5/28/26, at this time. The appeal deadline is 6/27/26. A walkthrough of caregiving spaces was conducted for the purposes of monitoring areas listed in Child Care Rule .2201(j) as well as CAP item #1. Upon arrival, I was greeted by Amber Williams. Ms. Williams accompanied me on a walkthrough of all caregiving spaces. Supervision was adequate. Interactions were positive and nurturing. Staff/child ratios and group sizes were maintained appropriately. The staff and training worksheet completed on 4/14/26 was used as a guide for monitoring CPR/First Aid, ITS-SIDS, health and safety and on-going training requirements. The ABCMS website was used to review current staff’s criminal background check statuses. The roster was recently updated to include newly hired staff. The qualification letters for staff are maintained in the digital staff files. We discussed the CAP as follows: CAP Item #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statutes §§ 110-90.2(b), 110-90.2(b) & (d) and Child Care Rule 10A NCAC 09 .2703(n)&(o), .2703(e) and .2703(r) regarding criminal records • North Carolina General Statute § 110-91(9) regarding staff records • Child Care Requirements 10A NCAC 09 .0803 (12) and .0803(4)(6-9) regarding administering medication • Sanitation Requirement 15A NCAC 18A 2820(b) regarding storage of hazardous substances • Child Care Requirements 10A NCAC 09.0606(a)(1-8) regarding safe sleep practices • Sanitation Requirement 15A NCAC 09 .2803(a)(c) regarding hand washing • Child Care Requirements 10A NCAC 09 .1101(a)(b), .1102(a), .1103(a) regarding in-service training • Child Care Requirements 10A NCAC 09 .0514(f) regarding program records • Child Care Requirements 10A NCAC 09 .0801(a), .0802(d) regarding children’s records Hazardous products were observed in improper storage and some medication authorization forms were not completed accurately in multiple classrooms. Details are included below in the violation chart. This item is not currently in compliance. Please see details in the Technical Assistance section below for reaching compliance. CAP Item #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Robin Worley, Child Care Health Consultant, telephone number 828-772-0504, email robin.worley@mahec.net, to arrange for completion of the NC Health and Safety Assessment Encounter Tool, develop a quality improvement plan, and conduct a technical assistance visit. Special emphasis shall be placed on violations documented regarding medication administration, storage of hazardous products, facility’s safe sleep policy, staff and children handwashing. Ms. Williams contacted Ms. Worley during the visit today to begin the Technical Assistance process. This item is in compliance. CAP Item #3: 3. Within two (2) weeks after this Notice is received, Ms. Williams shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to staff records, in-service training hours and criminal records check completion. The written plan shall include, but not be limited to, the following: • Implementation of a staff file checklist • Designation of staff member(s) responsible for reviewing files • Schedule of file reviews • Steps to take when information is missing • Identification of each staff member, their position, and the number of training hours required based on their position, education, and experience • Designation of administrative staff member responsible for reviewing and updating all staff training information • Steps to be taken when training is not completed by staff members in a timely manner • Ensuring each staff member is entered into the ABCMS Provider Portal • Designation of staff member(s) responsible for reviewing criminal background checks • Steps to take when the letter is missing from the file or has expired The written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for review. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan meets the requirements of this stipulation or if modifications are needed. Once the notification of the stipulation being met is received, the written plan shall be immediately implemented and incorporated into operating procedures. A copy of the written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. We discussed ideas for the plan implementation including how to divide responsibilities for staff file maintenance, schedule of file reviews, and one on one check-ins with staff to include review of a staff file checklist. Plan to send me the written plan by 6/16/26. If you require additional time to complete this item, please let me know. This item is in compliance. 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 819 Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage. A lighter was observed in an unlocked cabinet in classroom space 2. 10A NCAC 09 .0604(g) 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. Pressurized bear horns were observed in the unlocked ready-to-go bags for classrooms 1, 2, and 5. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid certificates for two (2) staff expired on 5/7/26 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR certificates for two (2) staff expired on 5/7/26 .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Four (4) topical medication administration permission forms in classroom space 7 did not include the manner in which the medication is to be applied. Two (2) diaper creams for one (1) child and one (1) diaper cream for one (1) child in classroom space 12 did not have a medication administration permission form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance provided as follows: Item #819: The lighter was removed from the classroom and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. Item #840: The bear horns were removed from the bags and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. We discussed bears are prevalent in the area and staff feel more comfortable if they have bear horns hen walking in the surrounding neighborhood. Staff can keep the bear horns in a locked compartment of the backpack or a locked bank bag, and can take the bear horn out when they begin their walk to the pool or other off-premise activity. Upon arrival to the destination, staff would be required to place the horn back into locked storage. Item #1048 and #1049: To reach compliance with this item, staff MCW and JG must complete CPR/First Aid training from an approved source. The list of approved trainers was included in the email containing this visit summary. You stated the staff may be able to take training from an in-house trainer next week during teacher work days. In your letter of compliance, please include a statement that indicates the staff have completed the training and documentation is maintained on file. We discussed the certificate is not always instantly available after the training is completed. If this is the case, plan to maintain another form of documentation on file such as a sign in sheet, roster, or an email from the trainer stating they have completed the in-person skills training. Item #1882: We discussed some parents fill out a form for “diaper cream” but send in two different diaper creams that contain different medication. A separate form giving the caregiver permission to administer the medication must be completed for each different medication. For example, if a parent sends in a product from one brand that contains zinc oxide and a product from another brand that contains petrolatum, a separate form must be completed for each product as the medications may have different effects on the child. Additionally, we discussed forms must be entirely completed before medication is administered. For topical medication, this can be difficult to describe as applying topicals is often second nature for caregivers. Encourage parents to use statements such as “rub quarter-size amount into exposed skin until lotion is no longer visible” for sunscreen or “rub dime sized amount onto skin with a rash” for diaper rash cream. Additionally, parents can review the medication’s container to see if directions are provided and simply copy those directions onto the form. In your letter of compliance, include a statement that indicates the four (4) forms in classroom space 7 have been completed and the permissions for the three (3) diaper creams in classroom space 12 are on file. Alternatively, you can return the medications to the parents to reach compliance. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period Consultation is provided as follows: We discussed the Community Center that houses the licensed child care facility has multiple staff that may or may not work with aspects of the child care program. We discussed some of these staff may be required to have a criminal background check qualification letter on file. We discussed the Community Center requires staff to have a background check that is different from the DCDEE Child Care criminal background check. We discussed staff who regularly work in the facility near children, such as maintenance and front desk staff who may need to have a Criminal Background Check qualification letter on file. Additional guidance is needed to provide clarifying information. We discussed I will follow up with you via email on this requirement. 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/2/2026 Number Present: 100 Completed Date: 6/2/2026 Age: From 0 To 5 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams and Daniel Smedley, Administrator, were present and available to ask and answer questions throughout the visit today. An Administrative Action-Written Warning was issued to the facility on 5/28/26. The facility had not received the Administrative Action at the time of the visit today. A copy of the Administrative Action was provided to you during the visit today. The Administrative Action was posted on the glass by the entrance to early childhood classroom hallway. We discussed the Corrective Action Plan (CAP) and you were given an opportunity to ask questions. We also discussed the appeal process that is outlined on the last page of the Administrative Action. You stated you would not like to appeal the Written Warning issued on 5/28/26, at this time. The appeal deadline is 6/27/26. A walkthrough of caregiving spaces was conducted for the purposes of monitoring areas listed in Child Care Rule .2201(j) as well as CAP item #1. Upon arrival, I was greeted by Amber Williams. Ms. Williams accompanied me on a walkthrough of all caregiving spaces. Supervision was adequate. Interactions were positive and nurturing. Staff/child ratios and group sizes were maintained appropriately. The staff and training worksheet completed on 4/14/26 was used as a guide for monitoring CPR/First Aid, ITS-SIDS, health and safety and on-going training requirements. The ABCMS website was used to review current staff’s criminal background check statuses. The roster was recently updated to include newly hired staff. The qualification letters for staff are maintained in the digital staff files. We discussed the CAP as follows: CAP Item #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statutes §§ 110-90.2(b), 110-90.2(b) & (d) and Child Care Rule 10A NCAC 09 .2703(n)&(o), .2703(e) and .2703(r) regarding criminal records • North Carolina General Statute § 110-91(9) regarding staff records • Child Care Requirements 10A NCAC 09 .0803 (12) and .0803(4)(6-9) regarding administering medication • Sanitation Requirement 15A NCAC 18A 2820(b) regarding storage of hazardous substances • Child Care Requirements 10A NCAC 09.0606(a)(1-8) regarding safe sleep practices • Sanitation Requirement 15A NCAC 09 .2803(a)(c) regarding hand washing • Child Care Requirements 10A NCAC 09 .1101(a)(b), .1102(a), .1103(a) regarding in-service training • Child Care Requirements 10A NCAC 09 .0514(f) regarding program records • Child Care Requirements 10A NCAC 09 .0801(a), .0802(d) regarding children’s records Hazardous products were observed in improper storage and some medication authorization forms were not completed accurately in multiple classrooms. Details are included below in the violation chart. This item is not currently in compliance. Please see details in the Technical Assistance section below for reaching compliance. CAP Item #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Robin Worley, Child Care Health Consultant, telephone number 828-772-0504, email robin.worley@mahec.net, to arrange for completion of the NC Health and Safety Assessment Encounter Tool, develop a quality improvement plan, and conduct a technical assistance visit. Special emphasis shall be placed on violations documented regarding medication administration, storage of hazardous products, facility’s safe sleep policy, staff and children handwashing. Ms. Williams contacted Ms. Worley during the visit today to begin the Technical Assistance process. This item is in compliance. CAP Item #3: 3. Within two (2) weeks after this Notice is received, Ms. Williams shall develop a written plan that describes, in detail, the steps that will be taken to ensure compliance with child care requirements related to staff records, in-service training hours and criminal records check completion. The written plan shall include, but not be limited to, the following: • Implementation of a staff file checklist • Designation of staff member(s) responsible for reviewing files • Schedule of file reviews • Steps to take when information is missing • Identification of each staff member, their position, and the number of training hours required based on their position, education, and experience • Designation of administrative staff member responsible for reviewing and updating all staff training information • Steps to be taken when training is not completed by staff members in a timely manner • Ensuring each staff member is entered into the ABCMS Provider Portal • Designation of staff member(s) responsible for reviewing criminal background checks • Steps to take when the letter is missing from the file or has expired The written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for review. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan meets the requirements of this stipulation or if modifications are needed. Once the notification of the stipulation being met is received, the written plan shall be immediately implemented and incorporated into operating procedures. A copy of the written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. We discussed ideas for the plan implementation including how to divide responsibilities for staff file maintenance, schedule of file reviews, and one on one check-ins with staff to include review of a staff file checklist. Plan to send me the written plan by 6/16/26. If you require additional time to complete this item, please let me know. This item is in compliance. 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 819 Materials used for starting fires, such as matches, lighters and accelerants were not kept in locked storage. A lighter was observed in an unlocked cabinet in classroom space 2. 10A NCAC 09 .0604(g) 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. Pressurized bear horns were observed in the unlocked ready-to-go bags for classrooms 1, 2, and 5. .2820(b) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid certificates for two (2) staff expired on 5/7/26 .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR certificates for two (2) staff expired on 5/7/26 .1102(d) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Four (4) topical medication administration permission forms in classroom space 7 did not include the manner in which the medication is to be applied. Two (2) diaper creams for one (1) child and one (1) diaper cream for one (1) child in classroom space 12 did not have a medication administration permission form on file. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical Assistance provided as follows: Item #819: The lighter was removed from the classroom and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. Item #840: The bear horns were removed from the bags and placed in a locked office during the visit today. This is corrected. No further corrective action is needed for this item. We discussed bears are prevalent in the area and staff feel more comfortable if they have bear horns hen walking in the surrounding neighborhood. Staff can keep the bear horns in a locked compartment of the backpack or a locked bank bag, and can take the bear horn out when they begin their walk to the pool or other off-premise activity. Upon arrival to the destination, staff would be required to place the horn back into locked storage. Item #1048 and #1049: To reach compliance with this item, staff MCW and JG must complete CPR/First Aid training from an approved source. The list of approved trainers was included in the email containing this visit summary. You stated the staff may be able to take training from an in-house trainer next week during teacher work days. In your letter of compliance, please include a statement that indicates the staff have completed the training and documentation is maintained on file. We discussed the certificate is not always instantly available after the training is completed. If this is the case, plan to maintain another form of documentation on file such as a sign in sheet, roster, or an email from the trainer stating they have completed the in-person skills training. Item #1882: We discussed some parents fill out a form for “diaper cream” but send in two different diaper creams that contain different medication. A separate form giving the caregiver permission to administer the medication must be completed for each different medication. For example, if a parent sends in a product from one brand that contains zinc oxide and a product from another brand that contains petrolatum, a separate form must be completed for each product as the medications may have different effects on the child. Additionally, we discussed forms must be entirely completed before medication is administered. For topical medication, this can be difficult to describe as applying topicals is often second nature for caregivers. Encourage parents to use statements such as “rub quarter-size amount into exposed skin until lotion is no longer visible” for sunscreen or “rub dime sized amount onto skin with a rash” for diaper rash cream. Additionally, parents can review the medication’s container to see if directions are provided and simply copy those directions onto the form. In your letter of compliance, include a statement that indicates the four (4) forms in classroom space 7 have been completed and the permissions for the three (3) diaper creams in classroom space 12 are on file. Alternatively, you can return the medications to the parents to reach compliance. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/16/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period Consultation is provided as follows: We discussed the Community Center that houses the licensed child care facility has multiple staff that may or may not work with aspects of the child care program. We discussed some of these staff may be required to have a criminal background check qualification letter on file. We discussed the Community Center requires staff to have a background check that is different from the DCDEE Child Care criminal background check. We discussed staff who regularly work in the facility near children, such as maintenance and front desk staff who may need to have a Criminal Background Check qualification letter on file. Additional guidance is needed to provide clarifying information. We discussed I will follow up with you via email on this requirement. 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1403 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/14/2026 Number Present: 131 Completed Date: 4/14/2026 Age: From 0 To 10 Total Minutes: 400 Time In: 09:20 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Lee Marshall, and Karla Terry, Child Care Consultants, accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Ms. Williams, and Jade Greene, Instructional Specialist, accompanied us on the walkthrough. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/13/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/13/26. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility serves children with special needs and offers field trips, school pickup, a gym, and a swimming pool. The last annual compliance visit was conducted on 4/23/25. The last fire drill for all buildings was practiced on 4/2/26. The last lockdown drill for all buildings was practiced on 3/26/26. The last playground inspection was documented on 4/2/26. The last fire inspection was approved on 1/9/26. The last sanitation inspection was conducted on 12/15/25 with fourteen (14) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum is Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website lists the status as “Survey Review by RTI”. Continue to work with RTI to complete the required testing. The program does provide transportation. You’re currently only using the bus for transport during inclement weather for school age children. I monitored one (1) vehicle today. Upon arrival I was greeted by Ms. Williams. In classroom space 6 were engaged in a large group art activity using bug figurines and paint. Children from classroom space 7 were engaged in a music and movement activity in the gym. Children jumped, scooted, danced and ran to music. Children from classroom space 12 were engaged in gross motor play on the porch. Children pushed toy cars, climbed a small indoor climber and rolled balls across the floor. In classroom space 13, children read books with caregivers and slept. Sleep checks were conducted according to the safe sleep policy. In classroom space 1 the group of three-year-olds were engaged in outdoor gross motor play. At 10:07a the group transitioned indoors to use the restroom, wash hands, and prepare for snack. In classroom space 2 the group of three to four year old children were engaged in outdoor gross motor play. While monitoring the classroom, I observed one (1) staff member, one (1) therapist, and one (1) child in the classroom. The therapist was working with the child. In classroom space 3 group three-to four-year-old children were on a nature walk. I met the group while heading back to the classroom from the nature walk. The group transitioned into the classroom. In classroom space 4 the group of four- to five-year-old outdoor engaged in gross motor play. In classroom space 5 the group of four- to five-year-old children were engaged in free play with playdough, books, free art, bristle blocks. 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 226 Swimming pool safety rules were not posted in a prominent place visible to staff and children for any swimming pool located on the child care facility premises. Swimming pool rules were not posted in the main pool area or in the small pool area. 10A NCAC 09 .1403(j) 608 Children did not wash their hands upon arrival at the center, after each visit to the toilet, before eating, before and after water activity play, after outside play, and after handling animals or animal cages. Space 3 children did not wash their hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(c) 609 Staff did not wash their hands thoroughly before beginning work, before/after handling food, before bottle feeding or serving to other children, after toileting or handling body fluids, after diaper changing and after handling soiled items. Space 3 staff did not wash hands upon arrival into the classroom after the nature walk. 15A NCAC 18A .2803(a) 840 All corrosive agents, pesticides, bleaches, detergents, cleansers, polishes, any product which is under pressure in an aerosol dispenser, and any substance which may be hazardous to a child if ingested, inhaled, or handled were not stored in a locked room or cabinet. Space 1 one (1) can of Gillette aerosol can shaving cream unlocked. Space 2 one (1) aerosol bear horn in an unlocked compartment. .2820(b) 847 Parent's medication authorization did not include required information. In classroom space 6, one (1) permission to administer diaper cream did not include the date the permission was signed. In classroom space 12, one (1) permission to administer a topical medication did not include the name of the medication, and one (1) child's diaper cream did not have a permission to administer medication. In classroom space 3, one (1) Aquaphor lip repair permission to administer medication was missing the dose. 10A NCAC 09 .0803(4)(6-9) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. Space 3 One (1) Vaseline permission to administer medication form expired 1/9/2026. One (1) Aquaphor permission to administer medication form was dated 11/11/2024 through 11/11/2025. One (1) pack of Boogie wipes permission to administer medication form expired 1/6/2026. In classroom space 7, one (1) diaper cream expired 5/2025 and one (1) diaper cream expired 11/2025. In classroom space 12, one (1) diaper cream expired 12/2025 and one (1) diaper cream expired 10/2025. .0803(12) 891 The safe sleep policy did not contain the required information. The safe sleep policy states "We may allow the use of blankets on a cot for toddlers aged 12 months or older." In classroom space 13, a twelve-month-old child was observed sleeping on a cot with a blanket. 10A NCAC 09 .0606(a)(1-8) 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. Space 4 one (1) laminator below five (5) feet accessible to children. Space 5 one (1) hot glue gun and one (1) laminator stored below five (5) feet accessible to children. .0604(e) 1043 All staff records, except financial records, were not made available for review. The staff file for I. Fertel was not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter for A. Lasher expired on 7/29/24. G.S. 110-90.2(b) & .2703(n)&(o) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff did not receive at least 16 hrs. orientation within the first 6 weeks. Refer to the staff and training worksheet. .1101(a) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Two (2) staff did not complete the required number of on-going training hours. Refer to the staff and training worksheet. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff did not complete six hours of training in the required topic areas. Refer to the staff and training worksheet. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Two (2) staff did not have an annual staff evaluation on file. 10A NCAC 09 .0514(f) 1302 Individual applications were not on file for each child. One (1) child was cared for at the facility by a substitute staff member. The child did not have an enrollment application on file. 10A NCAC 09 .0801(a) 1318 Medical authorization was not present on child's first day. One (1) infant who was cared for at the facility did not have an emergency medication care authorization on file. .0802(d) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letter for A. Lasher expired 7/29/24. G.S. 110-90.2(b) & (d) & .2703(e) 1805 A child care operator did not notify the Division of any new child care providers, as defined in G.S. 110-90.2(a)(2), who were hired or moved into the child care facility within five business days. Fifteen (15) staff were not linked to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1898 Staff did not complete the health and safety training within one year of employment. Six (6) staff did not complete all health and safety training topics within the first year of employment. .1102(a) 9995 A violation was found for which there is no item number. In space 8, a spray bottle of detergent solution was not labeled. Technical assistance was provided as follows: Item #226: To reach compliance with this item, the pool rules must be posted in both pool areas. In your letter of compliance, include a statement that indicates the pool rules have been posted in a prominent place. Item #608 and 609: To reach compliance with this item, plan to review handwashing procedures with staff in classroom space 3. In your letter of compliance, include a statement that indicates the procedures have been reviewed with staff and that handwashing is occurring for both staff and children upon reentry to the classroom from outdoors. Item #840: To reach compliance with this item, the pressurized bear horns must be removed from the bags or must be placed in locked storage within the backpacks. We discussed the cans can be placed in a locked bank bag or a lock can be placed on the zippers of the backpacks. In your letter of compliance, include a statement that indicates that the bear horn has been placed in locked storage or has been removed from the classrooms. Item #847 and #849: To reach compliance with these items the expired topical medication must be returned to the parents or discarded and the incomplete forms must be completed by the parents of the children as listed in the violation above. In your letter of compliance, include a statement that indicates the medications have been returned or discarded and that the permission forms have been completed by parents. Item #891: We discussed the safe sleep rules apply to children aged 12 months or younger. The safe sleep policy currently states children are permitted to have blankets at 12 months. This does not align with safe sleep practices. To reach compliance with this item, the safe sleep policy must be revised to change the language to reflect that children are only permitted to have blankets at 13 months or older. In your letter of compliance, please include a statement that indicates the safe sleep policy has been revised and parents of children 12 months or younger have been provided a copy of the new safe sleep policy and that they have signed the acknowledgement. Item #898: The laminator and hot glue gun were moved to a location inaccessible to children. This has been corrected. Item #1043: To reach compliance with this item, the file for the staff must be located and maintained on site. In your letter of compliance, include a statement that indicates the file has been maintained on site. Item #1044 and #1757: To reach compliance with this item, A. Lasher must receive an updated qualification letter immediately. Ms. Lasher began the application process today and scheduled an appointment with fingerprints for tomorrow, 4/15/26. Item #1045 and Item #1067: To reach compliance with this item, the orientation training record for staff CM must be completed. Item #1052: To reach compliance with this item the following staff must complete the hours listed below: MD- 5.5 hours RS- 6 hours In your letter of compliance, include a statement that indicates the training hours have been completed. Item #1232: To reach compliance with this item staff AW and SP must receive updated Annual Staff Evaluations. In your letter of compliance, include a statement that indicated the annual staff evaluation has been conducted. Item #1302 and Item #1318: To reach compliance with this item, the child must be enrolled in the facility. Alternatively, provide a statement that indicates the child will not be cared for in the facility. Item #1805: To reach compliance with this item, all staff must be linked to the facility in the ABCMS Provider Portal. A Technical Assistance document is provided to you in the email containing this visit summary that provides click by click instructions for connecting staff. Due to the size of the facility and the amount of staff, you may request an extension for this item if additional time is needed. If an extension is needed, please provide the request in writing to me via email and include the item number, the reason the extension is needed and the date you are requesting the extension to. Please see below for additional details: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Item #1898: In your letter of compliance, include a statement that indicates how Health and Safety training topics will be completed within the first year of employment. For example, you can state all staff will be required to complete one topic of health and safety training each month beginning with their first month of employment. Item #9995: The soapy water was labeled during the visit today. This is corrected. Achieving Compliance: A follow-up visit will be conducted to verify compliance of all items. Per procedures, a follow-up visit is required when sixteen (16) or more violations are cited. 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# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/28/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Due to the number of violations cited today, an Administrative Action may be recommended. Criminal Background Check (CBC) Qualification Letters: The following CBC letters will expire soon: -S. Phillips expires 4/16/26. S. Phillips must begin the process to renew the letter immediately. -C. Brockwell expires 5/17/26. C. Brockwell can begin the application to renew the letter today. -K. Rhames expires 10/25/26. K. Rhames can begin the application process to renew the letter on 4/25/26. -M. Kucin expires 10/28/26. M. Kucin can begin the application process to renew the letter on 4/28/26. -S. Bryson expires 12/28/26. CPR/First Aid Reminders: The following staff are due for CPR/First Aid training soon: R. Smedley expires 5/6/26 A. Williams expires 5/7/26 W. Tocaben expires 5/7/26 J. Smith expires 5/7/26 K. Rennie expires 5/7/26 K. Johnson expires 6/6/26 C. Burke expires 9/7/26 C. McCourry expires 9/5/26 A. Caruso expires 9/24/26 Health and Safety Training Reminders: The following staff will be required to complete Health and Safety training as part of the five year renewal requirement listed in rule .1103(b): -R. Smedley is due to retake Health and Safety training by 5/21/26 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.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/9/2025 Number Present: 89 Completed Date: 9/9/2025 Age: From 0 To 4 Total Minutes: 140 Time In: 01:10 PM Time Out: 03:30 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. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams and Lisa Nesmith, Associate Director of Child Care Compliance, were present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, and supervision. A supervision concern was substantiated during a Self-Report visit conducted on 8/28/25. The follow-up visit was conducted to confirm compliance with the supervision violation cited on 8/28/25. Supervision was adequate during the visit today. The violation is corrected by Consultant Visit today. The facility is current under an Administrative Action- Written Warning issued on 7/24/25. Compliance with Administrative Action requirements was monitored today. The cover letter, Administrative Action and Corrective Action plan were posted in prominent place available for parents and visitors. A walkthrough was conducted of all caregiving spaces. Sign in/out and head count sheets accurately reflected the number of children present in the caregiving spaces. Supervision was adequate and staff/child ratios were maintained during nap time according to rule .1801(b). The Corrective Action plan for the Administrative Action issued on 7/24/25 was initially discussed via phone call with Lisa Nesmith, Associate Director of Compliance, on 8/15/25. The Corrective Action plan was reviewed again today during the visit: Item #1: Supervision was adequate in all caregiving spaces during the visit today. This item is in compliance. Item #2: Ms. Nesmith contact Buncombe Partnership for Children on 7/28/25 to schedule the required training. The training was conducted on 8/19/25 with all staff. The sign-in sheet and roster was available for review. Item #3: The revised supervision policy was sent to me on 8/29/25. The policy contained all of the information required according to the Administrative Action. Ms. Nesmith and Ms. Williams were notified of the approval of the plan on 9/2/25. Item #4: You have a staff meeting scheduled for 9/16/25. Please send me the following once the meeting has been conducted: attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. Please note, all documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. 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 today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In classroom space 103, the room was too dark. In classroom space 104, the volume of the white noise machine and the speaker playing music was too high. 10A NCAC 09 .0601(a) Technical Assistance provided as follows: Item #807: The classrooms must be light enough to see the features of the children’s faces during rest time so that staff can see any discoloration, swelling, or grimacing. A piece of cardboard was removed from the window in classroom space 103 during the visit, allowing more natural light into the classroom. The music and white noise machines must be at a low enough volume that staff can hear a child coughing, crying, or struggling to breathe. The sound machine was turned down during the visit. This is corrected. Plan to visit classrooms at nap time periodically, to ensure you can see the details of children’s faces and that you can hear any sounds they may make. A good rule of thumb for sound, is your whisper should be easily heard by another adult or child. If you cannot hear someone whisper to you in close proximity, it is likely the sound machine/music is too loud. Consultation is provided as follows: We discussed the porch at Hilde’s House. As discussed in a visit to license the space on 7/6/23, the porch is considered an extension of the indoor space. Children in Hilde’s House must be provided outdoor time on the playground space each day, as weather permits. The capacity of the porch is nine (9) children at thirty (30) square feet per child. We discussed ratios during aquatics. Please see the rule below for details: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS (e) The following staff/child ratios shall be maintained whenever children participate in aquatic activities: Age of Children Ratio Staff/Children 3 to 4 Years 1/8 4 to 5 Years 1/10 5 Years and Older 1/13 Notwithstanding the staff/child ratios, at no time shall there be fewer than two staff members supervising the aquatic activity. (f) Children shall be adequately supervised by center staff at all times while participating in aquatic activities. For purposes of this Rule, "Adequate supervision" means that half of the center staff needed to meet the staff/child ratios in Paragraph (e) of this Rule is in the water and the other half is out of the water. If an uneven number of staff are needed to meet the required staff/child ratios, the majority shall be in the water. Staff shall be stationed in pre-assigned areas that will enable them at all times to hear, see, and respond to the children whether in or out of the water. Children shall not enter the water before center staff are stationed in their pre-assigned areas. Center staff shall devote their full attention to supervising the children in their pre-assigned areas of coverage and shall communicate with one another about children moving from one area to another area. 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 .1403 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 9/9/2025 Number Present: 89 Completed Date: 9/9/2025 Age: From 0 To 4 Total Minutes: 140 Time In: 01:10 PM Time Out: 03:30 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. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams and Lisa Nesmith, Associate Director of Child Care Compliance, were present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, and supervision. A supervision concern was substantiated during a Self-Report visit conducted on 8/28/25. The follow-up visit was conducted to confirm compliance with the supervision violation cited on 8/28/25. Supervision was adequate during the visit today. The violation is corrected by Consultant Visit today. The facility is current under an Administrative Action- Written Warning issued on 7/24/25. Compliance with Administrative Action requirements was monitored today. The cover letter, Administrative Action and Corrective Action plan were posted in prominent place available for parents and visitors. A walkthrough was conducted of all caregiving spaces. Sign in/out and head count sheets accurately reflected the number of children present in the caregiving spaces. Supervision was adequate and staff/child ratios were maintained during nap time according to rule .1801(b). The Corrective Action plan for the Administrative Action issued on 7/24/25 was initially discussed via phone call with Lisa Nesmith, Associate Director of Compliance, on 8/15/25. The Corrective Action plan was reviewed again today during the visit: Item #1: Supervision was adequate in all caregiving spaces during the visit today. This item is in compliance. Item #2: Ms. Nesmith contact Buncombe Partnership for Children on 7/28/25 to schedule the required training. The training was conducted on 8/19/25 with all staff. The sign-in sheet and roster was available for review. Item #3: The revised supervision policy was sent to me on 8/29/25. The policy contained all of the information required according to the Administrative Action. Ms. Nesmith and Ms. Williams were notified of the approval of the plan on 9/2/25. Item #4: You have a staff meeting scheduled for 9/16/25. Please send me the following once the meeting has been conducted: attendance roster with the printed name and signature of each staff member in attendance, the date, time, and length of the meeting, and minutes documenting the information discussed during the meeting. Please note, all documentation shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. 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 today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. In classroom space 103, the room was too dark. In classroom space 104, the volume of the white noise machine and the speaker playing music was too high. 10A NCAC 09 .0601(a) Technical Assistance provided as follows: Item #807: The classrooms must be light enough to see the features of the children’s faces during rest time so that staff can see any discoloration, swelling, or grimacing. A piece of cardboard was removed from the window in classroom space 103 during the visit, allowing more natural light into the classroom. The music and white noise machines must be at a low enough volume that staff can hear a child coughing, crying, or struggling to breathe. The sound machine was turned down during the visit. This is corrected. Plan to visit classrooms at nap time periodically, to ensure you can see the details of children’s faces and that you can hear any sounds they may make. A good rule of thumb for sound, is your whisper should be easily heard by another adult or child. If you cannot hear someone whisper to you in close proximity, it is likely the sound machine/music is too loud. Consultation is provided as follows: We discussed the porch at Hilde’s House. As discussed in a visit to license the space on 7/6/23, the porch is considered an extension of the indoor space. Children in Hilde’s House must be provided outdoor time on the playground space each day, as weather permits. The capacity of the porch is nine (9) children at thirty (30) square feet per child. We discussed ratios during aquatics. Please see the rule below for details: 10A NCAC 09 .1403 ACTIVITIES INVOLVING WATER IN CHILD CARE CENTERS (e) The following staff/child ratios shall be maintained whenever children participate in aquatic activities: Age of Children Ratio Staff/Children 3 to 4 Years 1/8 4 to 5 Years 1/10 5 Years and Older 1/13 Notwithstanding the staff/child ratios, at no time shall there be fewer than two staff members supervising the aquatic activity. (f) Children shall be adequately supervised by center staff at all times while participating in aquatic activities. For purposes of this Rule, "Adequate supervision" means that half of the center staff needed to meet the staff/child ratios in Paragraph (e) of this Rule is in the water and the other half is out of the water. If an uneven number of staff are needed to meet the required staff/child ratios, the majority shall be in the water. Staff shall be stationed in pre-assigned areas that will enable them at all times to hear, see, and respond to the children whether in or out of the water. Children shall not enter the water before center staff are stationed in their pre-assigned areas. Center staff shall devote their full attention to supervising the children in their pre-assigned areas of coverage and shall communicate with one another about children moving from one area to another area. 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 .1801 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0825-316L Visit Date: 8/28/2025 Number Present: 86 Completed Date: 8/28/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. 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 Amber Williams, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Williams and Lisa Nesmith, Associate Director of Compliance assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 8/27/25. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building at 335 Hill St. Limit 15 toileting persons at Hill St. The self report was received by the Division of Child Development and Early Education on 8/27/25 and sent to me on 8/27/25. There is a concern of inadequate supervision. A four year old child followed the parent of another child into a classroom during afternoon pick-up. The child was in the classroom without supervising teachers for approximately ten (10) minutes. Video footage was available for review. I interviewed five (5) staff. Records of daily departure/arrival were reviewed during the visit today. A walkthrough of caregiving spaces was conducted during the visit today. Staff/child ratios and group sizes were maintained. Children were adequately supervised during the walkthrough. Based on the interview, video footage, and self report the allegation regarding supervision is confirmed. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 8/25/25 at approximately 4:32pm, a four year old child followed the parent of another child from the large preschool playground into classroom space 130. The child remained in the classroom, unsupervised by staff, until 4:41pm. .1801(a)(1-5) Technical assistance was provided as follows: Item #303: Operators Response: We discussed you have addressed the incident in the following ways: -You held a virtual meeting with Administrative, Support and Teaching staff for the groups involved in the incident. -You placed the staff members involved in the incident on a Performance Improvement Plan. -You have moved pick-up time to inside the classrooms. Technical Assistance: We discussed the following suggestions to help with the pick-up time transition: -As staffing allows, station a staff member at the door who is assigned to assist parents with signing out and to ensure only the children being signed out are crossing the threshold. -Plan an engaging activity during pick-up time that will keep children’s interest while teachers are assisting parents with pick-up. Some ideas we discussed include a new activity or provocation, a teacher-led read aloud, music and movement activities, and screen time activities. -Update your safe arrival and departure procedures to include a statement that specifically indicates that only the child of the authorized adult can cross the threshold with them. -Include a signature line for parents at pick-up on the sign in/out sheet. Currently, staff sign children in/out on paper and parents sign children in/out on the electronic platform, Daxco. We discussed including a signature line for pick up on the paper form to ensure documentation that the adult picking up has notified the staff member. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a confirmed self-report regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. 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 9/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Operator’s response: 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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 .2201 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0825-316L Visit Date: 8/28/2025 Number Present: 86 Completed Date: 8/28/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. 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 Amber Williams, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Williams and Lisa Nesmith, Associate Director of Compliance assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 8/27/25. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building at 335 Hill St. Limit 15 toileting persons at Hill St. The self report was received by the Division of Child Development and Early Education on 8/27/25 and sent to me on 8/27/25. There is a concern of inadequate supervision. A four year old child followed the parent of another child into a classroom during afternoon pick-up. The child was in the classroom without supervising teachers for approximately ten (10) minutes. Video footage was available for review. I interviewed five (5) staff. Records of daily departure/arrival were reviewed during the visit today. A walkthrough of caregiving spaces was conducted during the visit today. Staff/child ratios and group sizes were maintained. Children were adequately supervised during the walkthrough. Based on the interview, video footage, and self report the allegation regarding supervision is confirmed. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 8/25/25 at approximately 4:32pm, a four year old child followed the parent of another child from the large preschool playground into classroom space 130. The child remained in the classroom, unsupervised by staff, until 4:41pm. .1801(a)(1-5) Technical assistance was provided as follows: Item #303: Operators Response: We discussed you have addressed the incident in the following ways: -You held a virtual meeting with Administrative, Support and Teaching staff for the groups involved in the incident. -You placed the staff members involved in the incident on a Performance Improvement Plan. -You have moved pick-up time to inside the classrooms. Technical Assistance: We discussed the following suggestions to help with the pick-up time transition: -As staffing allows, station a staff member at the door who is assigned to assist parents with signing out and to ensure only the children being signed out are crossing the threshold. -Plan an engaging activity during pick-up time that will keep children’s interest while teachers are assisting parents with pick-up. Some ideas we discussed include a new activity or provocation, a teacher-led read aloud, music and movement activities, and screen time activities. -Update your safe arrival and departure procedures to include a statement that specifically indicates that only the child of the authorized adult can cross the threshold with them. -Include a signature line for parents at pick-up on the sign in/out sheet. Currently, staff sign children in/out on paper and parents sign children in/out on the electronic platform, Daxco. We discussed including a signature line for pick up on the paper form to ensure documentation that the adult picking up has notified the staff member. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a confirmed self-report regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. 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 9/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Operator’s response: 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0825-316L Visit Date: 8/28/2025 Number Present: 86 Completed Date: 8/28/2025 Age: From 0 To 4 Total Minutes: 190 Time In: 09:20 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. 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 Amber Williams, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Williams and Lisa Nesmith, Associate Director of Compliance assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety percent (90%) as of 8/27/25. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building at 335 Hill St. Limit 15 toileting persons at Hill St. The self report was received by the Division of Child Development and Early Education on 8/27/25 and sent to me on 8/27/25. There is a concern of inadequate supervision. A four year old child followed the parent of another child into a classroom during afternoon pick-up. The child was in the classroom without supervising teachers for approximately ten (10) minutes. Video footage was available for review. I interviewed five (5) staff. Records of daily departure/arrival were reviewed during the visit today. A walkthrough of caregiving spaces was conducted during the visit today. Staff/child ratios and group sizes were maintained. Children were adequately supervised during the walkthrough. Based on the interview, video footage, and self report the allegation regarding supervision is confirmed. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 8/25/25 at approximately 4:32pm, a four year old child followed the parent of another child from the large preschool playground into classroom space 130. The child remained in the classroom, unsupervised by staff, until 4:41pm. .1801(a)(1-5) Technical assistance was provided as follows: Item #303: Operators Response: We discussed you have addressed the incident in the following ways: -You held a virtual meeting with Administrative, Support and Teaching staff for the groups involved in the incident. -You placed the staff members involved in the incident on a Performance Improvement Plan. -You have moved pick-up time to inside the classrooms. Technical Assistance: We discussed the following suggestions to help with the pick-up time transition: -As staffing allows, station a staff member at the door who is assigned to assist parents with signing out and to ensure only the children being signed out are crossing the threshold. -Plan an engaging activity during pick-up time that will keep children’s interest while teachers are assisting parents with pick-up. Some ideas we discussed include a new activity or provocation, a teacher-led read aloud, music and movement activities, and screen time activities. -Update your safe arrival and departure procedures to include a statement that specifically indicates that only the child of the authorized adult can cross the threshold with them. -Include a signature line for parents at pick-up on the sign in/out sheet. Currently, staff sign children in/out on paper and parents sign children in/out on the electronic platform, Daxco. We discussed including a signature line for pick up on the paper form to ensure documentation that the adult picking up has notified the staff member. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a confirmed self-report regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. 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 9/11/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Operator’s response: 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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 .1801 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0525-110L Visit Date: 5/20/2025 Number Present: 80 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of violations of child care requirements. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 5/19/25. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility meets requirements for transportation, and offers a swimming pool, gym, field trips, and school pickup. The facility serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 5/9/25 and sent to me on 5/9/25. There is a concern of inadequate supervision. According to the self-reported concerns, a two year old child was left alone in classroom space for ten (10) minutes at 11:20am on 5/8/25. I interviewed one (1) staff. Video footage was available for review. I observed classroom space 7 during the visit today. Children were playing on the playground for two and three year old children. Children from classrooms 6 and 7 were combined. There were eight (8) children ages two to three years old with three (3) caregivers present from classroom space 7. There were seven (7) two year old children present with two (2) caregivers from classroom space 6. Based on the self-report, interview and video footage, the allegation regarding supervision is substantiated. The following violation was documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. A two year old child was left alone in classroom space 7 on 5/8/25 from approximately 11:08am to 11:18am. .1801(a)(1-5) Technical assistance was provided as follows: Item #303: A two year old child was left alone in classroom space 7 on 5/8/25 from approximately 11:08am to 11:18am. Children must be adequately supervised at all times. We discussed the supervision plan that was created as part of the Administrative Action issued 11/21/24. The plan states “During transitions, teachers use Face Count/Transition sheets to document the time, number of kids, location, additional notes, and their initials.” Teachers in classroom space 7 did complete a face count/transition sheet on 5/8/25. However, a miscommunication occurred resulting in the lapse of supervision. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/3/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Operator’s Response: A new system has been implemented in which staff move the child’s name from one chart to another when transitioning children to and from the outdoor learning environment for transitions like diaper changes. Transition sheets are still being completed according to policy. I recommend you add this new system to your existing supervision policy. You stated you plan to add a communication piece to the supervision policy, in which staff are required to repeat/confirm when they hear other teachers convey information about children transitioning from one environment to the other. You plan to review this addition during the Teacher Work Day on 6/11/25-6/13/25. I recommend having staff sign an acknowledgement that they have received this updated policy and maintain on file. The staff involved in the supervision incident received documented disciplinary action as stated in the supervision policy. Parents were notified of the incident on 5/9/25 and the self-report was made to the Division on 5/9/25- the next business day. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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 .2201 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0525-110L Visit Date: 5/20/2025 Number Present: 80 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of violations of child care requirements. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 5/19/25. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility meets requirements for transportation, and offers a swimming pool, gym, field trips, and school pickup. The facility serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 5/9/25 and sent to me on 5/9/25. There is a concern of inadequate supervision. According to the self-reported concerns, a two year old child was left alone in classroom space for ten (10) minutes at 11:20am on 5/8/25. I interviewed one (1) staff. Video footage was available for review. I observed classroom space 7 during the visit today. Children were playing on the playground for two and three year old children. Children from classrooms 6 and 7 were combined. There were eight (8) children ages two to three years old with three (3) caregivers present from classroom space 7. There were seven (7) two year old children present with two (2) caregivers from classroom space 6. Based on the self-report, interview and video footage, the allegation regarding supervision is substantiated. The following violation was documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. A two year old child was left alone in classroom space 7 on 5/8/25 from approximately 11:08am to 11:18am. .1801(a)(1-5) Technical assistance was provided as follows: Item #303: A two year old child was left alone in classroom space 7 on 5/8/25 from approximately 11:08am to 11:18am. Children must be adequately supervised at all times. We discussed the supervision plan that was created as part of the Administrative Action issued 11/21/24. The plan states “During transitions, teachers use Face Count/Transition sheets to document the time, number of kids, location, additional notes, and their initials.” Teachers in classroom space 7 did complete a face count/transition sheet on 5/8/25. However, a miscommunication occurred resulting in the lapse of supervision. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/3/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Operator’s Response: A new system has been implemented in which staff move the child’s name from one chart to another when transitioning children to and from the outdoor learning environment for transitions like diaper changes. Transition sheets are still being completed according to policy. I recommend you add this new system to your existing supervision policy. You stated you plan to add a communication piece to the supervision policy, in which staff are required to repeat/confirm when they hear other teachers convey information about children transitioning from one environment to the other. You plan to review this addition during the Teacher Work Day on 6/11/25-6/13/25. I recommend having staff sign an acknowledgement that they have received this updated policy and maintain on file. The staff involved in the supervision incident received documented disciplinary action as stated in the supervision policy. Parents were notified of the incident on 5/9/25 and the self-report was made to the Division on 5/9/25- the next business day. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0525-110L Visit Date: 5/20/2025 Number Present: 80 Completed Date: 5/20/2025 Age: From 0 To 5 Total Minutes: 90 Time In: 10:00 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of violations of child care requirements. 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 Amber Williams, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-seven percent (87%) as of 5/19/25. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility meets requirements for transportation, and offers a swimming pool, gym, field trips, and school pickup. The facility serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 5/9/25 and sent to me on 5/9/25. There is a concern of inadequate supervision. According to the self-reported concerns, a two year old child was left alone in classroom space for ten (10) minutes at 11:20am on 5/8/25. I interviewed one (1) staff. Video footage was available for review. I observed classroom space 7 during the visit today. Children were playing on the playground for two and three year old children. Children from classrooms 6 and 7 were combined. There were eight (8) children ages two to three years old with three (3) caregivers present from classroom space 7. There were seven (7) two year old children present with two (2) caregivers from classroom space 6. Based on the self-report, interview and video footage, the allegation regarding supervision is substantiated. The following violation was documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. A two year old child was left alone in classroom space 7 on 5/8/25 from approximately 11:08am to 11:18am. .1801(a)(1-5) Technical assistance was provided as follows: Item #303: A two year old child was left alone in classroom space 7 on 5/8/25 from approximately 11:08am to 11:18am. Children must be adequately supervised at all times. We discussed the supervision plan that was created as part of the Administrative Action issued 11/21/24. The plan states “During transitions, teachers use Face Count/Transition sheets to document the time, number of kids, location, additional notes, and their initials.” Teachers in classroom space 7 did complete a face count/transition sheet on 5/8/25. However, a miscommunication occurred resulting in the lapse of supervision. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 6/3/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Operator’s Response: A new system has been implemented in which staff move the child’s name from one chart to another when transitioning children to and from the outdoor learning environment for transitions like diaper changes. Transition sheets are still being completed according to policy. I recommend you add this new system to your existing supervision policy. You stated you plan to add a communication piece to the supervision policy, in which staff are required to repeat/confirm when they hear other teachers convey information about children transitioning from one environment to the other. You plan to review this addition during the Teacher Work Day on 6/11/25-6/13/25. I recommend having staff sign an acknowledgement that they have received this updated policy and maintain on file. The staff involved in the supervision incident received documented disciplinary action as stated in the supervision policy. Parents were notified of the incident on 5/9/25 and the self-report was made to the Division on 5/9/25- the next business day. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2025 Number Present: 91 Completed Date: 4/23/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Child Care Consultant, and Monica Houck, Lead Child Care Consultant, accompanied me today. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Lisa Nesmith, Associate Director of Child Care Compliance, accompanied Ms. Houck on a walkthrough of caregiving spaces. 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 eighty-seven percent (87%) as of 4/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/21/25. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, children under 2.5 years old in rooms with direct exits only, includes building at 336 Hill St. Limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility offers field trips, a swimming pool, gym, school pick up and serves children with special needs. The last annual compliance visit was conducted on 5/1/24. The last fire drill for Shalom and JCC Kids was practiced on 3/28/25. The last fire drill for Shalom and JCC Kids was practiced on 3/31/25. The last lockdown drill for all buildings was practiced on 3/10/25. The last playground inspection for Shalom was documented on 3/21/25. The last playground inspection for JCC Kids was documented on 4/4/25. The last playground inspection for Hilde’s House was documented on 4/3/25. The last fire inspection was approved on 7/8/24. The last sanitation inspection was conducted on 1/6/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead and asbestos testing has not been completed. The program is approved to provide transportation. The facility provides school pickup for forty-seven (47) school aged children. The school pickup does not use vehicles. Staff members walk children from the school to the facility. The van has been sold. No vehicles were monitored today. The children in spaces #1 through #5, the classrooms with three through five year old children, were observed in routine care, small group activities, transition to swimming, free play, large group, and transition to the upstairs gym. All children bring their lunches and have a nutrition opt-out form on file. In classroom space 6, children were observed eating snack brought from home and cleaning up to prepare to play outside. In classroom space 7, children participated in routine caregiving activities such as toileting, diapering, reading books, and dressing up in various community helper clothing. Children from classroom space 121 were engaged in the weekly swim lesson at the pool. There were eleven (11) children participating in the lesson with two (2) caregiving staff in the pool and one (1) caregiving staff supervising from the pool deck. There were two (2) lifeguards not counted in ratios. Children in classroom space 11 were sleeping. Caregivers conducted sleep checks every fifteen (15) minutes and documented the checks on the sleep chart. In classroom space 12, children were engaged in a music and movement activity with caregivers. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe arrival and departure procedures were not posted. .1003(b) 847 Parent's medication authorization did not include required information. The authorization for one (1) sunscreen in classroom space 7 did not include the name of the sunscreen. One (1) diaper cream in classroom space 11 did not have an authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. An incident that occurred on 3/13/25 was not documented on the incident log. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping on a cot with loose bedding in classroom space 13. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualifying letter for E. Greene expired 2/18/25. The letter was renewed on 3/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Drills were not practiced every three months. Drills were practiced on 7/25/24, 11/12/24, and 3/10/25. .0604(u);.0302(d)(8) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident that occurred on 3/13/25 that required medical attention from a medical professional was sent to the consultant on 3/28/25. .0802(f) Technical assistance was provided as follows: The following items were cited as violations during the visit today. Compliance is due by 5/7/25: Item #1811 Shelter-in-place/Lockdown Drills: Shelter-in-place and lockdown drills must be practiced every three months. We discussed, for compliance, you will need to provide a plan to practice these emergency drills every three months. Item #1911 and #853 Incident Reporting and Log: Incidents that require outside medical attention must be sent to the Division (to me) within seven calendar days. All incidents must be recorded on the incident log. The incident from 3/13/25 was added to the incident log during the visit. Item #853 was corrected. To reach compliance with item #1911, in your letter of compliance, include a statement that indicates how you will ensure this is sent within the required timeline, moving forward. Item #871 Crib Sheet: We discussed the facility’s safe sleep policy states children will be placed on a cot or crib with a tight fitting sheet. To reach compliance for this item, replace the loose fitting sheet with a tight fitted sheet that is meant for the small size cot being used. Item #847 Medication Administration Authorization: To reach compliance, the parent of the child with the sunscreen in classroom space 7 must include the name of the sunscreen on the authorization form. We discussed that this parent noted “only use sunscreen provided by the parent”. To ensure the correct sunscreen is used, have the parent note the name of the sunscreen on the form. Additionally, to reach compliance with this item, plan to have the parent complete the authorization for the diaper cream in classroom space 12. Item #1044 Criminal Background Check: Staff must complete the application and receive an updated Criminal Background Check qualifying letter prior to the date of expiration of the current letter. We recommend staff begin the process six (6) months prior to the expiration date of the current letter. In your letter of compliance, include a statement that indicates how you will ensure staff renew the background check prior to the expiration date of the current letter. Item #802 Safe Arrival and Departure Procedures: The safe arrival and departure procedures were posted during the visit today. This is corrected. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may be cited in future visits if compliance is not met: Activity Plans: The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include at least 4 different daily activities listed on the activity plan. The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include a daily gross motor activity on the activity plan. The activity plans must include at least 4 different daily activities from the following: art and other creative play, children's books, block and block building, manipulatives, and family living/dramatic play. In addition a daily gross motor activity is required to be on the activity plan. You stated that the activities are happening and just need to be on paper. All classroom staff need to reference the activity plan to understand what is planned for children to do throughout the day. For compliance, plan to provide a detail description of what is included for each activity plan and the updated activity plans. Ongoing Training Hours: Per the staff and training worksheet, six (6) staff have not met the required number of on-going training hours per their education and experience. Refer to the staff and training worksheet and rule .1103 for details on what is needed to reach compliance. Orientation Training: Three (3) staff did not receive the sixteen (16) hours of training within the required timeline. Please refer to the staff and training worksheet for details. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: The Criminal Background Check qualifying letter for some staff will expire soon. We recommend beginning the process up to six (6) months prior to the current letter’s expiration date. Please see below: A. McShane exp. 7/6/25 E. Stone exp. 10/7/25 C. Iliff exp. 9/29/25 D. Smedley exp. 8/25/25 A. Williams exp. 8/13/25 Z. Jordon exp. 11/16/25 The Epipen for one (1) child in JCC Kids expired in 12/2024. Plan to return the expired medication and receive new medication from the parents. The Epipen permission to administer medication for one (1) child in classroom space 7 will expire in July 2025. 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. Additional action is needed to complete testing for Lead Based Paint and Asbestos. Visit https://www.cleanwaterforuskids.org/en/carolina/ to log into your portal and complete the steps needed for testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Recognizing and Responding to Suspicions of Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0606 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2025 Number Present: 91 Completed Date: 4/23/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Child Care Consultant, and Monica Houck, Lead Child Care Consultant, accompanied me today. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Lisa Nesmith, Associate Director of Child Care Compliance, accompanied Ms. Houck on a walkthrough of caregiving spaces. 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 eighty-seven percent (87%) as of 4/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/21/25. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, children under 2.5 years old in rooms with direct exits only, includes building at 336 Hill St. Limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility offers field trips, a swimming pool, gym, school pick up and serves children with special needs. The last annual compliance visit was conducted on 5/1/24. The last fire drill for Shalom and JCC Kids was practiced on 3/28/25. The last fire drill for Shalom and JCC Kids was practiced on 3/31/25. The last lockdown drill for all buildings was practiced on 3/10/25. The last playground inspection for Shalom was documented on 3/21/25. The last playground inspection for JCC Kids was documented on 4/4/25. The last playground inspection for Hilde’s House was documented on 4/3/25. The last fire inspection was approved on 7/8/24. The last sanitation inspection was conducted on 1/6/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead and asbestos testing has not been completed. The program is approved to provide transportation. The facility provides school pickup for forty-seven (47) school aged children. The school pickup does not use vehicles. Staff members walk children from the school to the facility. The van has been sold. No vehicles were monitored today. The children in spaces #1 through #5, the classrooms with three through five year old children, were observed in routine care, small group activities, transition to swimming, free play, large group, and transition to the upstairs gym. All children bring their lunches and have a nutrition opt-out form on file. In classroom space 6, children were observed eating snack brought from home and cleaning up to prepare to play outside. In classroom space 7, children participated in routine caregiving activities such as toileting, diapering, reading books, and dressing up in various community helper clothing. Children from classroom space 121 were engaged in the weekly swim lesson at the pool. There were eleven (11) children participating in the lesson with two (2) caregiving staff in the pool and one (1) caregiving staff supervising from the pool deck. There were two (2) lifeguards not counted in ratios. Children in classroom space 11 were sleeping. Caregivers conducted sleep checks every fifteen (15) minutes and documented the checks on the sleep chart. In classroom space 12, children were engaged in a music and movement activity with caregivers. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe arrival and departure procedures were not posted. .1003(b) 847 Parent's medication authorization did not include required information. The authorization for one (1) sunscreen in classroom space 7 did not include the name of the sunscreen. One (1) diaper cream in classroom space 11 did not have an authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. An incident that occurred on 3/13/25 was not documented on the incident log. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping on a cot with loose bedding in classroom space 13. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualifying letter for E. Greene expired 2/18/25. The letter was renewed on 3/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Drills were not practiced every three months. Drills were practiced on 7/25/24, 11/12/24, and 3/10/25. .0604(u);.0302(d)(8) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident that occurred on 3/13/25 that required medical attention from a medical professional was sent to the consultant on 3/28/25. .0802(f) Technical assistance was provided as follows: The following items were cited as violations during the visit today. Compliance is due by 5/7/25: Item #1811 Shelter-in-place/Lockdown Drills: Shelter-in-place and lockdown drills must be practiced every three months. We discussed, for compliance, you will need to provide a plan to practice these emergency drills every three months. Item #1911 and #853 Incident Reporting and Log: Incidents that require outside medical attention must be sent to the Division (to me) within seven calendar days. All incidents must be recorded on the incident log. The incident from 3/13/25 was added to the incident log during the visit. Item #853 was corrected. To reach compliance with item #1911, in your letter of compliance, include a statement that indicates how you will ensure this is sent within the required timeline, moving forward. Item #871 Crib Sheet: We discussed the facility’s safe sleep policy states children will be placed on a cot or crib with a tight fitting sheet. To reach compliance for this item, replace the loose fitting sheet with a tight fitted sheet that is meant for the small size cot being used. Item #847 Medication Administration Authorization: To reach compliance, the parent of the child with the sunscreen in classroom space 7 must include the name of the sunscreen on the authorization form. We discussed that this parent noted “only use sunscreen provided by the parent”. To ensure the correct sunscreen is used, have the parent note the name of the sunscreen on the form. Additionally, to reach compliance with this item, plan to have the parent complete the authorization for the diaper cream in classroom space 12. Item #1044 Criminal Background Check: Staff must complete the application and receive an updated Criminal Background Check qualifying letter prior to the date of expiration of the current letter. We recommend staff begin the process six (6) months prior to the expiration date of the current letter. In your letter of compliance, include a statement that indicates how you will ensure staff renew the background check prior to the expiration date of the current letter. Item #802 Safe Arrival and Departure Procedures: The safe arrival and departure procedures were posted during the visit today. This is corrected. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may be cited in future visits if compliance is not met: Activity Plans: The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include at least 4 different daily activities listed on the activity plan. The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include a daily gross motor activity on the activity plan. The activity plans must include at least 4 different daily activities from the following: art and other creative play, children's books, block and block building, manipulatives, and family living/dramatic play. In addition a daily gross motor activity is required to be on the activity plan. You stated that the activities are happening and just need to be on paper. All classroom staff need to reference the activity plan to understand what is planned for children to do throughout the day. For compliance, plan to provide a detail description of what is included for each activity plan and the updated activity plans. Ongoing Training Hours: Per the staff and training worksheet, six (6) staff have not met the required number of on-going training hours per their education and experience. Refer to the staff and training worksheet and rule .1103 for details on what is needed to reach compliance. Orientation Training: Three (3) staff did not receive the sixteen (16) hours of training within the required timeline. Please refer to the staff and training worksheet for details. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: The Criminal Background Check qualifying letter for some staff will expire soon. We recommend beginning the process up to six (6) months prior to the current letter’s expiration date. Please see below: A. McShane exp. 7/6/25 E. Stone exp. 10/7/25 C. Iliff exp. 9/29/25 D. Smedley exp. 8/25/25 A. Williams exp. 8/13/25 Z. Jordon exp. 11/16/25 The Epipen for one (1) child in JCC Kids expired in 12/2024. Plan to return the expired medication and receive new medication from the parents. The Epipen permission to administer medication for one (1) child in classroom space 7 will expire in July 2025. 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. Additional action is needed to complete testing for Lead Based Paint and Asbestos. Visit https://www.cleanwaterforuskids.org/en/carolina/ to log into your portal and complete the steps needed for testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Recognizing and Responding to Suspicions of Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2025 Number Present: 91 Completed Date: 4/23/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Child Care Consultant, and Monica Houck, Lead Child Care Consultant, accompanied me today. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Lisa Nesmith, Associate Director of Child Care Compliance, accompanied Ms. Houck on a walkthrough of caregiving spaces. 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 eighty-seven percent (87%) as of 4/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/21/25. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, children under 2.5 years old in rooms with direct exits only, includes building at 336 Hill St. Limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility offers field trips, a swimming pool, gym, school pick up and serves children with special needs. The last annual compliance visit was conducted on 5/1/24. The last fire drill for Shalom and JCC Kids was practiced on 3/28/25. The last fire drill for Shalom and JCC Kids was practiced on 3/31/25. The last lockdown drill for all buildings was practiced on 3/10/25. The last playground inspection for Shalom was documented on 3/21/25. The last playground inspection for JCC Kids was documented on 4/4/25. The last playground inspection for Hilde’s House was documented on 4/3/25. The last fire inspection was approved on 7/8/24. The last sanitation inspection was conducted on 1/6/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead and asbestos testing has not been completed. The program is approved to provide transportation. The facility provides school pickup for forty-seven (47) school aged children. The school pickup does not use vehicles. Staff members walk children from the school to the facility. The van has been sold. No vehicles were monitored today. The children in spaces #1 through #5, the classrooms with three through five year old children, were observed in routine care, small group activities, transition to swimming, free play, large group, and transition to the upstairs gym. All children bring their lunches and have a nutrition opt-out form on file. In classroom space 6, children were observed eating snack brought from home and cleaning up to prepare to play outside. In classroom space 7, children participated in routine caregiving activities such as toileting, diapering, reading books, and dressing up in various community helper clothing. Children from classroom space 121 were engaged in the weekly swim lesson at the pool. There were eleven (11) children participating in the lesson with two (2) caregiving staff in the pool and one (1) caregiving staff supervising from the pool deck. There were two (2) lifeguards not counted in ratios. Children in classroom space 11 were sleeping. Caregivers conducted sleep checks every fifteen (15) minutes and documented the checks on the sleep chart. In classroom space 12, children were engaged in a music and movement activity with caregivers. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe arrival and departure procedures were not posted. .1003(b) 847 Parent's medication authorization did not include required information. The authorization for one (1) sunscreen in classroom space 7 did not include the name of the sunscreen. One (1) diaper cream in classroom space 11 did not have an authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. An incident that occurred on 3/13/25 was not documented on the incident log. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping on a cot with loose bedding in classroom space 13. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualifying letter for E. Greene expired 2/18/25. The letter was renewed on 3/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Drills were not practiced every three months. Drills were practiced on 7/25/24, 11/12/24, and 3/10/25. .0604(u);.0302(d)(8) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident that occurred on 3/13/25 that required medical attention from a medical professional was sent to the consultant on 3/28/25. .0802(f) Technical assistance was provided as follows: The following items were cited as violations during the visit today. Compliance is due by 5/7/25: Item #1811 Shelter-in-place/Lockdown Drills: Shelter-in-place and lockdown drills must be practiced every three months. We discussed, for compliance, you will need to provide a plan to practice these emergency drills every three months. Item #1911 and #853 Incident Reporting and Log: Incidents that require outside medical attention must be sent to the Division (to me) within seven calendar days. All incidents must be recorded on the incident log. The incident from 3/13/25 was added to the incident log during the visit. Item #853 was corrected. To reach compliance with item #1911, in your letter of compliance, include a statement that indicates how you will ensure this is sent within the required timeline, moving forward. Item #871 Crib Sheet: We discussed the facility’s safe sleep policy states children will be placed on a cot or crib with a tight fitting sheet. To reach compliance for this item, replace the loose fitting sheet with a tight fitted sheet that is meant for the small size cot being used. Item #847 Medication Administration Authorization: To reach compliance, the parent of the child with the sunscreen in classroom space 7 must include the name of the sunscreen on the authorization form. We discussed that this parent noted “only use sunscreen provided by the parent”. To ensure the correct sunscreen is used, have the parent note the name of the sunscreen on the form. Additionally, to reach compliance with this item, plan to have the parent complete the authorization for the diaper cream in classroom space 12. Item #1044 Criminal Background Check: Staff must complete the application and receive an updated Criminal Background Check qualifying letter prior to the date of expiration of the current letter. We recommend staff begin the process six (6) months prior to the expiration date of the current letter. In your letter of compliance, include a statement that indicates how you will ensure staff renew the background check prior to the expiration date of the current letter. Item #802 Safe Arrival and Departure Procedures: The safe arrival and departure procedures were posted during the visit today. This is corrected. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may be cited in future visits if compliance is not met: Activity Plans: The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include at least 4 different daily activities listed on the activity plan. The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include a daily gross motor activity on the activity plan. The activity plans must include at least 4 different daily activities from the following: art and other creative play, children's books, block and block building, manipulatives, and family living/dramatic play. In addition a daily gross motor activity is required to be on the activity plan. You stated that the activities are happening and just need to be on paper. All classroom staff need to reference the activity plan to understand what is planned for children to do throughout the day. For compliance, plan to provide a detail description of what is included for each activity plan and the updated activity plans. Ongoing Training Hours: Per the staff and training worksheet, six (6) staff have not met the required number of on-going training hours per their education and experience. Refer to the staff and training worksheet and rule .1103 for details on what is needed to reach compliance. Orientation Training: Three (3) staff did not receive the sixteen (16) hours of training within the required timeline. Please refer to the staff and training worksheet for details. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: The Criminal Background Check qualifying letter for some staff will expire soon. We recommend beginning the process up to six (6) months prior to the current letter’s expiration date. Please see below: A. McShane exp. 7/6/25 E. Stone exp. 10/7/25 C. Iliff exp. 9/29/25 D. Smedley exp. 8/25/25 A. Williams exp. 8/13/25 Z. Jordon exp. 11/16/25 The Epipen for one (1) child in JCC Kids expired in 12/2024. Plan to return the expired medication and receive new medication from the parents. The Epipen permission to administer medication for one (1) child in classroom space 7 will expire in July 2025. 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. Additional action is needed to complete testing for Lead Based Paint and Asbestos. Visit https://www.cleanwaterforuskids.org/en/carolina/ to log into your portal and complete the steps needed for testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Recognizing and Responding to Suspicions of Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2025 Number Present: 91 Completed Date: 4/23/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Child Care Consultant, and Monica Houck, Lead Child Care Consultant, accompanied me today. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Lisa Nesmith, Associate Director of Child Care Compliance, accompanied Ms. Houck on a walkthrough of caregiving spaces. 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 eighty-seven percent (87%) as of 4/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/21/25. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, children under 2.5 years old in rooms with direct exits only, includes building at 336 Hill St. Limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility offers field trips, a swimming pool, gym, school pick up and serves children with special needs. The last annual compliance visit was conducted on 5/1/24. The last fire drill for Shalom and JCC Kids was practiced on 3/28/25. The last fire drill for Shalom and JCC Kids was practiced on 3/31/25. The last lockdown drill for all buildings was practiced on 3/10/25. The last playground inspection for Shalom was documented on 3/21/25. The last playground inspection for JCC Kids was documented on 4/4/25. The last playground inspection for Hilde’s House was documented on 4/3/25. The last fire inspection was approved on 7/8/24. The last sanitation inspection was conducted on 1/6/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead and asbestos testing has not been completed. The program is approved to provide transportation. The facility provides school pickup for forty-seven (47) school aged children. The school pickup does not use vehicles. Staff members walk children from the school to the facility. The van has been sold. No vehicles were monitored today. The children in spaces #1 through #5, the classrooms with three through five year old children, were observed in routine care, small group activities, transition to swimming, free play, large group, and transition to the upstairs gym. All children bring their lunches and have a nutrition opt-out form on file. In classroom space 6, children were observed eating snack brought from home and cleaning up to prepare to play outside. In classroom space 7, children participated in routine caregiving activities such as toileting, diapering, reading books, and dressing up in various community helper clothing. Children from classroom space 121 were engaged in the weekly swim lesson at the pool. There were eleven (11) children participating in the lesson with two (2) caregiving staff in the pool and one (1) caregiving staff supervising from the pool deck. There were two (2) lifeguards not counted in ratios. Children in classroom space 11 were sleeping. Caregivers conducted sleep checks every fifteen (15) minutes and documented the checks on the sleep chart. In classroom space 12, children were engaged in a music and movement activity with caregivers. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe arrival and departure procedures were not posted. .1003(b) 847 Parent's medication authorization did not include required information. The authorization for one (1) sunscreen in classroom space 7 did not include the name of the sunscreen. One (1) diaper cream in classroom space 11 did not have an authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. An incident that occurred on 3/13/25 was not documented on the incident log. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping on a cot with loose bedding in classroom space 13. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualifying letter for E. Greene expired 2/18/25. The letter was renewed on 3/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Drills were not practiced every three months. Drills were practiced on 7/25/24, 11/12/24, and 3/10/25. .0604(u);.0302(d)(8) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident that occurred on 3/13/25 that required medical attention from a medical professional was sent to the consultant on 3/28/25. .0802(f) Technical assistance was provided as follows: The following items were cited as violations during the visit today. Compliance is due by 5/7/25: Item #1811 Shelter-in-place/Lockdown Drills: Shelter-in-place and lockdown drills must be practiced every three months. We discussed, for compliance, you will need to provide a plan to practice these emergency drills every three months. Item #1911 and #853 Incident Reporting and Log: Incidents that require outside medical attention must be sent to the Division (to me) within seven calendar days. All incidents must be recorded on the incident log. The incident from 3/13/25 was added to the incident log during the visit. Item #853 was corrected. To reach compliance with item #1911, in your letter of compliance, include a statement that indicates how you will ensure this is sent within the required timeline, moving forward. Item #871 Crib Sheet: We discussed the facility’s safe sleep policy states children will be placed on a cot or crib with a tight fitting sheet. To reach compliance for this item, replace the loose fitting sheet with a tight fitted sheet that is meant for the small size cot being used. Item #847 Medication Administration Authorization: To reach compliance, the parent of the child with the sunscreen in classroom space 7 must include the name of the sunscreen on the authorization form. We discussed that this parent noted “only use sunscreen provided by the parent”. To ensure the correct sunscreen is used, have the parent note the name of the sunscreen on the form. Additionally, to reach compliance with this item, plan to have the parent complete the authorization for the diaper cream in classroom space 12. Item #1044 Criminal Background Check: Staff must complete the application and receive an updated Criminal Background Check qualifying letter prior to the date of expiration of the current letter. We recommend staff begin the process six (6) months prior to the expiration date of the current letter. In your letter of compliance, include a statement that indicates how you will ensure staff renew the background check prior to the expiration date of the current letter. Item #802 Safe Arrival and Departure Procedures: The safe arrival and departure procedures were posted during the visit today. This is corrected. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may be cited in future visits if compliance is not met: Activity Plans: The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include at least 4 different daily activities listed on the activity plan. The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include a daily gross motor activity on the activity plan. The activity plans must include at least 4 different daily activities from the following: art and other creative play, children's books, block and block building, manipulatives, and family living/dramatic play. In addition a daily gross motor activity is required to be on the activity plan. You stated that the activities are happening and just need to be on paper. All classroom staff need to reference the activity plan to understand what is planned for children to do throughout the day. For compliance, plan to provide a detail description of what is included for each activity plan and the updated activity plans. Ongoing Training Hours: Per the staff and training worksheet, six (6) staff have not met the required number of on-going training hours per their education and experience. Refer to the staff and training worksheet and rule .1103 for details on what is needed to reach compliance. Orientation Training: Three (3) staff did not receive the sixteen (16) hours of training within the required timeline. Please refer to the staff and training worksheet for details. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: The Criminal Background Check qualifying letter for some staff will expire soon. We recommend beginning the process up to six (6) months prior to the current letter’s expiration date. Please see below: A. McShane exp. 7/6/25 E. Stone exp. 10/7/25 C. Iliff exp. 9/29/25 D. Smedley exp. 8/25/25 A. Williams exp. 8/13/25 Z. Jordon exp. 11/16/25 The Epipen for one (1) child in JCC Kids expired in 12/2024. Plan to return the expired medication and receive new medication from the parents. The Epipen permission to administer medication for one (1) child in classroom space 7 will expire in July 2025. 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. Additional action is needed to complete testing for Lead Based Paint and Asbestos. Visit https://www.cleanwaterforuskids.org/en/carolina/ to log into your portal and complete the steps needed for testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Recognizing and Responding to Suspicions of Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2025 Number Present: 91 Completed Date: 4/23/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Child Care Consultant, and Monica Houck, Lead Child Care Consultant, accompanied me today. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Lisa Nesmith, Associate Director of Child Care Compliance, accompanied Ms. Houck on a walkthrough of caregiving spaces. 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 eighty-seven percent (87%) as of 4/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/21/25. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, children under 2.5 years old in rooms with direct exits only, includes building at 336 Hill St. Limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility offers field trips, a swimming pool, gym, school pick up and serves children with special needs. The last annual compliance visit was conducted on 5/1/24. The last fire drill for Shalom and JCC Kids was practiced on 3/28/25. The last fire drill for Shalom and JCC Kids was practiced on 3/31/25. The last lockdown drill for all buildings was practiced on 3/10/25. The last playground inspection for Shalom was documented on 3/21/25. The last playground inspection for JCC Kids was documented on 4/4/25. The last playground inspection for Hilde’s House was documented on 4/3/25. The last fire inspection was approved on 7/8/24. The last sanitation inspection was conducted on 1/6/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead and asbestos testing has not been completed. The program is approved to provide transportation. The facility provides school pickup for forty-seven (47) school aged children. The school pickup does not use vehicles. Staff members walk children from the school to the facility. The van has been sold. No vehicles were monitored today. The children in spaces #1 through #5, the classrooms with three through five year old children, were observed in routine care, small group activities, transition to swimming, free play, large group, and transition to the upstairs gym. All children bring their lunches and have a nutrition opt-out form on file. In classroom space 6, children were observed eating snack brought from home and cleaning up to prepare to play outside. In classroom space 7, children participated in routine caregiving activities such as toileting, diapering, reading books, and dressing up in various community helper clothing. Children from classroom space 121 were engaged in the weekly swim lesson at the pool. There were eleven (11) children participating in the lesson with two (2) caregiving staff in the pool and one (1) caregiving staff supervising from the pool deck. There were two (2) lifeguards not counted in ratios. Children in classroom space 11 were sleeping. Caregivers conducted sleep checks every fifteen (15) minutes and documented the checks on the sleep chart. In classroom space 12, children were engaged in a music and movement activity with caregivers. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe arrival and departure procedures were not posted. .1003(b) 847 Parent's medication authorization did not include required information. The authorization for one (1) sunscreen in classroom space 7 did not include the name of the sunscreen. One (1) diaper cream in classroom space 11 did not have an authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. An incident that occurred on 3/13/25 was not documented on the incident log. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping on a cot with loose bedding in classroom space 13. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualifying letter for E. Greene expired 2/18/25. The letter was renewed on 3/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Drills were not practiced every three months. Drills were practiced on 7/25/24, 11/12/24, and 3/10/25. .0604(u);.0302(d)(8) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident that occurred on 3/13/25 that required medical attention from a medical professional was sent to the consultant on 3/28/25. .0802(f) Technical assistance was provided as follows: The following items were cited as violations during the visit today. Compliance is due by 5/7/25: Item #1811 Shelter-in-place/Lockdown Drills: Shelter-in-place and lockdown drills must be practiced every three months. We discussed, for compliance, you will need to provide a plan to practice these emergency drills every three months. Item #1911 and #853 Incident Reporting and Log: Incidents that require outside medical attention must be sent to the Division (to me) within seven calendar days. All incidents must be recorded on the incident log. The incident from 3/13/25 was added to the incident log during the visit. Item #853 was corrected. To reach compliance with item #1911, in your letter of compliance, include a statement that indicates how you will ensure this is sent within the required timeline, moving forward. Item #871 Crib Sheet: We discussed the facility’s safe sleep policy states children will be placed on a cot or crib with a tight fitting sheet. To reach compliance for this item, replace the loose fitting sheet with a tight fitted sheet that is meant for the small size cot being used. Item #847 Medication Administration Authorization: To reach compliance, the parent of the child with the sunscreen in classroom space 7 must include the name of the sunscreen on the authorization form. We discussed that this parent noted “only use sunscreen provided by the parent”. To ensure the correct sunscreen is used, have the parent note the name of the sunscreen on the form. Additionally, to reach compliance with this item, plan to have the parent complete the authorization for the diaper cream in classroom space 12. Item #1044 Criminal Background Check: Staff must complete the application and receive an updated Criminal Background Check qualifying letter prior to the date of expiration of the current letter. We recommend staff begin the process six (6) months prior to the expiration date of the current letter. In your letter of compliance, include a statement that indicates how you will ensure staff renew the background check prior to the expiration date of the current letter. Item #802 Safe Arrival and Departure Procedures: The safe arrival and departure procedures were posted during the visit today. This is corrected. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may be cited in future visits if compliance is not met: Activity Plans: The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include at least 4 different daily activities listed on the activity plan. The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include a daily gross motor activity on the activity plan. The activity plans must include at least 4 different daily activities from the following: art and other creative play, children's books, block and block building, manipulatives, and family living/dramatic play. In addition a daily gross motor activity is required to be on the activity plan. You stated that the activities are happening and just need to be on paper. All classroom staff need to reference the activity plan to understand what is planned for children to do throughout the day. For compliance, plan to provide a detail description of what is included for each activity plan and the updated activity plans. Ongoing Training Hours: Per the staff and training worksheet, six (6) staff have not met the required number of on-going training hours per their education and experience. Refer to the staff and training worksheet and rule .1103 for details on what is needed to reach compliance. Orientation Training: Three (3) staff did not receive the sixteen (16) hours of training within the required timeline. Please refer to the staff and training worksheet for details. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: The Criminal Background Check qualifying letter for some staff will expire soon. We recommend beginning the process up to six (6) months prior to the current letter’s expiration date. Please see below: A. McShane exp. 7/6/25 E. Stone exp. 10/7/25 C. Iliff exp. 9/29/25 D. Smedley exp. 8/25/25 A. Williams exp. 8/13/25 Z. Jordon exp. 11/16/25 The Epipen for one (1) child in JCC Kids expired in 12/2024. Plan to return the expired medication and receive new medication from the parents. The Epipen permission to administer medication for one (1) child in classroom space 7 will expire in July 2025. 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. Additional action is needed to complete testing for Lead Based Paint and Asbestos. Visit https://www.cleanwaterforuskids.org/en/carolina/ to log into your portal and complete the steps needed for testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Recognizing and Responding to Suspicions of Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2025 Number Present: 91 Completed Date: 4/23/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Child Care Consultant, and Monica Houck, Lead Child Care Consultant, accompanied me today. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Lisa Nesmith, Associate Director of Child Care Compliance, accompanied Ms. Houck on a walkthrough of caregiving spaces. 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 eighty-seven percent (87%) as of 4/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/21/25. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, children under 2.5 years old in rooms with direct exits only, includes building at 336 Hill St. Limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility offers field trips, a swimming pool, gym, school pick up and serves children with special needs. The last annual compliance visit was conducted on 5/1/24. The last fire drill for Shalom and JCC Kids was practiced on 3/28/25. The last fire drill for Shalom and JCC Kids was practiced on 3/31/25. The last lockdown drill for all buildings was practiced on 3/10/25. The last playground inspection for Shalom was documented on 3/21/25. The last playground inspection for JCC Kids was documented on 4/4/25. The last playground inspection for Hilde’s House was documented on 4/3/25. The last fire inspection was approved on 7/8/24. The last sanitation inspection was conducted on 1/6/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead and asbestos testing has not been completed. The program is approved to provide transportation. The facility provides school pickup for forty-seven (47) school aged children. The school pickup does not use vehicles. Staff members walk children from the school to the facility. The van has been sold. No vehicles were monitored today. The children in spaces #1 through #5, the classrooms with three through five year old children, were observed in routine care, small group activities, transition to swimming, free play, large group, and transition to the upstairs gym. All children bring their lunches and have a nutrition opt-out form on file. In classroom space 6, children were observed eating snack brought from home and cleaning up to prepare to play outside. In classroom space 7, children participated in routine caregiving activities such as toileting, diapering, reading books, and dressing up in various community helper clothing. Children from classroom space 121 were engaged in the weekly swim lesson at the pool. There were eleven (11) children participating in the lesson with two (2) caregiving staff in the pool and one (1) caregiving staff supervising from the pool deck. There were two (2) lifeguards not counted in ratios. Children in classroom space 11 were sleeping. Caregivers conducted sleep checks every fifteen (15) minutes and documented the checks on the sleep chart. In classroom space 12, children were engaged in a music and movement activity with caregivers. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe arrival and departure procedures were not posted. .1003(b) 847 Parent's medication authorization did not include required information. The authorization for one (1) sunscreen in classroom space 7 did not include the name of the sunscreen. One (1) diaper cream in classroom space 11 did not have an authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. An incident that occurred on 3/13/25 was not documented on the incident log. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping on a cot with loose bedding in classroom space 13. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualifying letter for E. Greene expired 2/18/25. The letter was renewed on 3/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Drills were not practiced every three months. Drills were practiced on 7/25/24, 11/12/24, and 3/10/25. .0604(u);.0302(d)(8) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident that occurred on 3/13/25 that required medical attention from a medical professional was sent to the consultant on 3/28/25. .0802(f) Technical assistance was provided as follows: The following items were cited as violations during the visit today. Compliance is due by 5/7/25: Item #1811 Shelter-in-place/Lockdown Drills: Shelter-in-place and lockdown drills must be practiced every three months. We discussed, for compliance, you will need to provide a plan to practice these emergency drills every three months. Item #1911 and #853 Incident Reporting and Log: Incidents that require outside medical attention must be sent to the Division (to me) within seven calendar days. All incidents must be recorded on the incident log. The incident from 3/13/25 was added to the incident log during the visit. Item #853 was corrected. To reach compliance with item #1911, in your letter of compliance, include a statement that indicates how you will ensure this is sent within the required timeline, moving forward. Item #871 Crib Sheet: We discussed the facility’s safe sleep policy states children will be placed on a cot or crib with a tight fitting sheet. To reach compliance for this item, replace the loose fitting sheet with a tight fitted sheet that is meant for the small size cot being used. Item #847 Medication Administration Authorization: To reach compliance, the parent of the child with the sunscreen in classroom space 7 must include the name of the sunscreen on the authorization form. We discussed that this parent noted “only use sunscreen provided by the parent”. To ensure the correct sunscreen is used, have the parent note the name of the sunscreen on the form. Additionally, to reach compliance with this item, plan to have the parent complete the authorization for the diaper cream in classroom space 12. Item #1044 Criminal Background Check: Staff must complete the application and receive an updated Criminal Background Check qualifying letter prior to the date of expiration of the current letter. We recommend staff begin the process six (6) months prior to the expiration date of the current letter. In your letter of compliance, include a statement that indicates how you will ensure staff renew the background check prior to the expiration date of the current letter. Item #802 Safe Arrival and Departure Procedures: The safe arrival and departure procedures were posted during the visit today. This is corrected. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may be cited in future visits if compliance is not met: Activity Plans: The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include at least 4 different daily activities listed on the activity plan. The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include a daily gross motor activity on the activity plan. The activity plans must include at least 4 different daily activities from the following: art and other creative play, children's books, block and block building, manipulatives, and family living/dramatic play. In addition a daily gross motor activity is required to be on the activity plan. You stated that the activities are happening and just need to be on paper. All classroom staff need to reference the activity plan to understand what is planned for children to do throughout the day. For compliance, plan to provide a detail description of what is included for each activity plan and the updated activity plans. Ongoing Training Hours: Per the staff and training worksheet, six (6) staff have not met the required number of on-going training hours per their education and experience. Refer to the staff and training worksheet and rule .1103 for details on what is needed to reach compliance. Orientation Training: Three (3) staff did not receive the sixteen (16) hours of training within the required timeline. Please refer to the staff and training worksheet for details. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: The Criminal Background Check qualifying letter for some staff will expire soon. We recommend beginning the process up to six (6) months prior to the current letter’s expiration date. Please see below: A. McShane exp. 7/6/25 E. Stone exp. 10/7/25 C. Iliff exp. 9/29/25 D. Smedley exp. 8/25/25 A. Williams exp. 8/13/25 Z. Jordon exp. 11/16/25 The Epipen for one (1) child in JCC Kids expired in 12/2024. Plan to return the expired medication and receive new medication from the parents. The Epipen permission to administer medication for one (1) child in classroom space 7 will expire in July 2025. 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. Additional action is needed to complete testing for Lead Based Paint and Asbestos. Visit https://www.cleanwaterforuskids.org/en/carolina/ to log into your portal and complete the steps needed for testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Recognizing and Responding to Suspicions of Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/23/2025 Number Present: 91 Completed Date: 4/23/2025 Age: From 0 To 5 Total Minutes: 360 Time In: 09:00 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Dawn McCrary, Child Care Consultant, and Monica Houck, Lead Child Care Consultant, accompanied me today. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Lisa Nesmith, Associate Director of Child Care Compliance, accompanied Ms. Houck on a walkthrough of caregiving spaces. 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 eighty-seven percent (87%) as of 4/21/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/21/25. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets enhanced ratios, children under 2.5 years old in rooms with direct exits only, includes building at 336 Hill St. Limit 15 toileting persons at Hill St. The facility is approved to provide transportation. The facility offers field trips, a swimming pool, gym, school pick up and serves children with special needs. The last annual compliance visit was conducted on 5/1/24. The last fire drill for Shalom and JCC Kids was practiced on 3/28/25. The last fire drill for Shalom and JCC Kids was practiced on 3/31/25. The last lockdown drill for all buildings was practiced on 3/10/25. The last playground inspection for Shalom was documented on 3/21/25. The last playground inspection for JCC Kids was documented on 4/4/25. The last playground inspection for Hilde’s House was documented on 4/3/25. The last fire inspection was approved on 7/8/24. The last sanitation inspection was conducted on 1/6/25 with six (6) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. Lead water testing was completed on 12/28/24 without hazards. Lead and asbestos testing has not been completed. The program is approved to provide transportation. The facility provides school pickup for forty-seven (47) school aged children. The school pickup does not use vehicles. Staff members walk children from the school to the facility. The van has been sold. No vehicles were monitored today. The children in spaces #1 through #5, the classrooms with three through five year old children, were observed in routine care, small group activities, transition to swimming, free play, large group, and transition to the upstairs gym. All children bring their lunches and have a nutrition opt-out form on file. In classroom space 6, children were observed eating snack brought from home and cleaning up to prepare to play outside. In classroom space 7, children participated in routine caregiving activities such as toileting, diapering, reading books, and dressing up in various community helper clothing. Children from classroom space 121 were engaged in the weekly swim lesson at the pool. There were eleven (11) children participating in the lesson with two (2) caregiving staff in the pool and one (1) caregiving staff supervising from the pool deck. There were two (2) lifeguards not counted in ratios. Children in classroom space 11 were sleeping. Caregivers conducted sleep checks every fifteen (15) minutes and documented the checks on the sleep chart. In classroom space 12, children were engaged in a music and movement activity with caregivers. 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 802 Safe pick-up and delivery procedures were not communicated to parents and/or were not posted where they can be seen by the parents. The safe arrival and departure procedures were not posted. .1003(b) 847 Parent's medication authorization did not include required information. The authorization for one (1) sunscreen in classroom space 7 did not include the name of the sunscreen. One (1) diaper cream in classroom space 11 did not have an authorization on file. 10A NCAC 09 .0803(4)(6-9) 853 Incident logs were not completed and maintained as required. An incident that occurred on 3/13/25 was not documented on the incident log. .0802(g)(1-6) 871 Center staff did not comply with the safe sleep policy. An infant was observed sleeping on a cot with loose bedding in classroom space 13. 10A NCAC 09 .0606(a) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualifying letter for E. Greene expired 2/18/25. The letter was renewed on 3/14/25. G.S. 110-90.2(b) & .2703(n)&(o) 1811 Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete. Drills were not practiced every three months. Drills were practiced on 7/25/24, 11/12/24, and 3/10/25. .0604(u);.0302(d)(8) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. An incident that occurred on 3/13/25 that required medical attention from a medical professional was sent to the consultant on 3/28/25. .0802(f) Technical assistance was provided as follows: The following items were cited as violations during the visit today. Compliance is due by 5/7/25: Item #1811 Shelter-in-place/Lockdown Drills: Shelter-in-place and lockdown drills must be practiced every three months. We discussed, for compliance, you will need to provide a plan to practice these emergency drills every three months. Item #1911 and #853 Incident Reporting and Log: Incidents that require outside medical attention must be sent to the Division (to me) within seven calendar days. All incidents must be recorded on the incident log. The incident from 3/13/25 was added to the incident log during the visit. Item #853 was corrected. To reach compliance with item #1911, in your letter of compliance, include a statement that indicates how you will ensure this is sent within the required timeline, moving forward. Item #871 Crib Sheet: We discussed the facility’s safe sleep policy states children will be placed on a cot or crib with a tight fitting sheet. To reach compliance for this item, replace the loose fitting sheet with a tight fitted sheet that is meant for the small size cot being used. Item #847 Medication Administration Authorization: To reach compliance, the parent of the child with the sunscreen in classroom space 7 must include the name of the sunscreen on the authorization form. We discussed that this parent noted “only use sunscreen provided by the parent”. To ensure the correct sunscreen is used, have the parent note the name of the sunscreen on the form. Additionally, to reach compliance with this item, plan to have the parent complete the authorization for the diaper cream in classroom space 12. Item #1044 Criminal Background Check: Staff must complete the application and receive an updated Criminal Background Check qualifying letter prior to the date of expiration of the current letter. We recommend staff begin the process six (6) months prior to the expiration date of the current letter. In your letter of compliance, include a statement that indicates how you will ensure staff renew the background check prior to the expiration date of the current letter. Item #802 Safe Arrival and Departure Procedures: The safe arrival and departure procedures were posted during the visit today. This is corrected. The following items were not cited as violations during the visit today. Due to Tropical Storm Helene, our area is currently under a state of emergency. Additional time and guidance is given to reach compliance with certain items. Please note, violations may be cited in future visits if compliance is not met: Activity Plans: The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include at least 4 different daily activities listed on the activity plan. The activity plans for spaces #2, #3, #4, and #5, the classrooms with three through five year old children, did not include a daily gross motor activity on the activity plan. The activity plans must include at least 4 different daily activities from the following: art and other creative play, children's books, block and block building, manipulatives, and family living/dramatic play. In addition a daily gross motor activity is required to be on the activity plan. You stated that the activities are happening and just need to be on paper. All classroom staff need to reference the activity plan to understand what is planned for children to do throughout the day. For compliance, plan to provide a detail description of what is included for each activity plan and the updated activity plans. Ongoing Training Hours: Per the staff and training worksheet, six (6) staff have not met the required number of on-going training hours per their education and experience. Refer to the staff and training worksheet and rule .1103 for details on what is needed to reach compliance. Orientation Training: Three (3) staff did not receive the sixteen (16) hours of training within the required timeline. Please refer to the staff and training worksheet for details. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/7/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: Kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email Kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: The Criminal Background Check qualifying letter for some staff will expire soon. We recommend beginning the process up to six (6) months prior to the current letter’s expiration date. Please see below: A. McShane exp. 7/6/25 E. Stone exp. 10/7/25 C. Iliff exp. 9/29/25 D. Smedley exp. 8/25/25 A. Williams exp. 8/13/25 Z. Jordon exp. 11/16/25 The Epipen for one (1) child in JCC Kids expired in 12/2024. Plan to return the expired medication and receive new medication from the parents. The Epipen permission to administer medication for one (1) child in classroom space 7 will expire in July 2025. 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. Additional action is needed to complete testing for Lead Based Paint and Asbestos. Visit https://www.cleanwaterforuskids.org/en/carolina/ to log into your portal and complete the steps needed for testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Recognizing and Responding to Suspicions of Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at Kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 8/6/2024 Number Present: 113 Completed Date: 8/6/2024 Age: From 0 To 12 Total Minutes: 139 Time In: 09:00 AM Time Out: 11:19 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor compliance during a complaint follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Amber Williams, Early Education Director, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me during today’s visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/6/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. The allegation for supervision was substantiated during a complaint visit conducted on 7/31/24. Per video footage and interview conducted, on 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. Upon arrival, I announced my presence and the purpose of the visit. I monitored the children in each classroom. In #121, a group of seven (7) children, three (3) years of age were present with two (2) teachers and one (1) volunteer. Some children had morning snack they brought from home, and other children played with housekeeping materials. One (1) teacher supervised the children eating, and the other teacher read books to a child. On the “Weekly attendance and face count sheet”, six (6) children had check marks, and there was no log for today. The record for yesterday showed transition between the playground and the classroom. In #127, a group of nine (9) children, three-to-four years of age engaged in free play with art activities and reading. On the weekly attendance and face count sheet, each child’s arrival time for today was logged. For yesterday, transitions were recorded including when two (2) children’s use of bathroom. In #129, a group of six (6) children, three-to-four years of age, participated in group time. The children and a teacher sang nursery rhymes. On the weekly attendance and face count sheet, six (6) children’s arrival time was recorded for today. For yesterday, transitions were recorded. In space #128, a group of four (4) children, four-to-five years of age, engaged in small group activities. The children used counting animals to sort and count. On the weekly attendance and face count sheet, detailed record of transitions, including transitions from the classroom to the pool and each child’s bathroom use while he/she/they was on the playground for yesterday. The children’s arrival time for today were recorded as well. In #130, a group of seven (7) children, four-to-five years of age, engaged in art and manipulative activities. On the weekly attendance and face count sheet, detailed record of transitions, including transitions from the classroom to the pool and each child’s bathroom use while he/she/they was on the playground for yesterday. The children’s arrival time for today were recorded as well. In #103, a group of eight (8) children, two-to-three years of age, engaged in free play with soft blocks, books and other materials. Today’s transition from the classroom to outside was accurately logged. In #104, a group of six (6) children, three (3) years of age, participated in group reading time. One (1) child arrived during the observation, and one (1) of the teachers logged the child’s arrival time on the weekly attendance and face count sheet. Today’s transition from the classroom to outside was accurately logged. In the toddler classroom, eight (8) children, one-to-two years of age, were present. The children played with toy vehicles, books, toy barns and other materials. On the weekly attendance and face count sheet, all children’s arrival times were recorded for today, and the transitions were logged for yesterday. In the infant classroom, six (6) children, zero-to-one year of age, were present. The children played with toy vehicles, books, toy barns and other materials. On the weekly attendance and face count sheet, all children’s arrival times were recorded for today, and the transitions were logged for yesterday. Afterschool/summer camp children were observed. All children were gathered in the field. During the observation, one (1) group leader took six (6) children to the bathroom, while one (1) youth program director stayed with forty-six (46) children. There were seven (7) volunteers, thirteen-to-fifteen years of age, present. These volunteers did not count in ratios. The program uses fifteen (15) minute face count sheet. During the visit, the youth program director did not have accurate counts of the children present. When the group leader returned to the field, there were two (2) staff members with fifty-two (52) children. The ratio for this program is one (1) staff to twenty (20) children. Supervision of children and interactions were adequate. The violation item 303 cited during a complaint visit conducted on July 31, 2024 was marked corrected by the consultant visit. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care During today’s visit, stipulation #1 was met. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures Due to the children’s arrival time not being recorded for #121, stipulation #4 was not met during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. There were fifty-two (52) children with one (1) group leader and one (1) Youth Program Director present in the field. 10A NCAC 09 .2818 Technical assistance was provided as follows: 1756: Enhanced staff/child ratio Your facility’s restriction includes enhanced staff/child ratios. For the school-age children, you shall maintain one (1) staff to twenty (20) children. The maximum group size for one (1) group leader is twenty-five (25) children. Please establish a line of communication and support system when unexpected absences of staff members occur to ensure the safety of children. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) The center shall comply with the following staff/child ratios and maximum group sizes. The children six (6) years of age and above, the facility shall maintain one (1) staff to twenty (20) children ratio with maximum group size of twenty-five (25). Achieving Compliance: A follow-up visit will be conducted to verify compliance of item 1756, staff/child ratio and group size violation. Consultation is provided as follows: Even though the children’s arrival time was not appropriately recorded for today in #121, the violation was not cited during today’s visit since you have until August 14th, 2024, to meet the compliance. Supervision during meal time: We discussed that staff members shall be able to see and hear the children during meal time. Choking often occurs in silence. Please make sure to communicate this requirement to each teacher. Due to additional violation for staff/child ratios and group size, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 8/6/2024 Number Present: 113 Completed Date: 8/6/2024 Age: From 0 To 12 Total Minutes: 139 Time In: 09:00 AM Time Out: 11:19 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor compliance during a complaint follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Amber Williams, Early Education Director, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me during today’s visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/6/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. The allegation for supervision was substantiated during a complaint visit conducted on 7/31/24. Per video footage and interview conducted, on 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. Upon arrival, I announced my presence and the purpose of the visit. I monitored the children in each classroom. In #121, a group of seven (7) children, three (3) years of age were present with two (2) teachers and one (1) volunteer. Some children had morning snack they brought from home, and other children played with housekeeping materials. One (1) teacher supervised the children eating, and the other teacher read books to a child. On the “Weekly attendance and face count sheet”, six (6) children had check marks, and there was no log for today. The record for yesterday showed transition between the playground and the classroom. In #127, a group of nine (9) children, three-to-four years of age engaged in free play with art activities and reading. On the weekly attendance and face count sheet, each child’s arrival time for today was logged. For yesterday, transitions were recorded including when two (2) children’s use of bathroom. In #129, a group of six (6) children, three-to-four years of age, participated in group time. The children and a teacher sang nursery rhymes. On the weekly attendance and face count sheet, six (6) children’s arrival time was recorded for today. For yesterday, transitions were recorded. In space #128, a group of four (4) children, four-to-five years of age, engaged in small group activities. The children used counting animals to sort and count. On the weekly attendance and face count sheet, detailed record of transitions, including transitions from the classroom to the pool and each child’s bathroom use while he/she/they was on the playground for yesterday. The children’s arrival time for today were recorded as well. In #130, a group of seven (7) children, four-to-five years of age, engaged in art and manipulative activities. On the weekly attendance and face count sheet, detailed record of transitions, including transitions from the classroom to the pool and each child’s bathroom use while he/she/they was on the playground for yesterday. The children’s arrival time for today were recorded as well. In #103, a group of eight (8) children, two-to-three years of age, engaged in free play with soft blocks, books and other materials. Today’s transition from the classroom to outside was accurately logged. In #104, a group of six (6) children, three (3) years of age, participated in group reading time. One (1) child arrived during the observation, and one (1) of the teachers logged the child’s arrival time on the weekly attendance and face count sheet. Today’s transition from the classroom to outside was accurately logged. In the toddler classroom, eight (8) children, one-to-two years of age, were present. The children played with toy vehicles, books, toy barns and other materials. On the weekly attendance and face count sheet, all children’s arrival times were recorded for today, and the transitions were logged for yesterday. In the infant classroom, six (6) children, zero-to-one year of age, were present. The children played with toy vehicles, books, toy barns and other materials. On the weekly attendance and face count sheet, all children’s arrival times were recorded for today, and the transitions were logged for yesterday. Afterschool/summer camp children were observed. All children were gathered in the field. During the observation, one (1) group leader took six (6) children to the bathroom, while one (1) youth program director stayed with forty-six (46) children. There were seven (7) volunteers, thirteen-to-fifteen years of age, present. These volunteers did not count in ratios. The program uses fifteen (15) minute face count sheet. During the visit, the youth program director did not have accurate counts of the children present. When the group leader returned to the field, there were two (2) staff members with fifty-two (52) children. The ratio for this program is one (1) staff to twenty (20) children. Supervision of children and interactions were adequate. The violation item 303 cited during a complaint visit conducted on July 31, 2024 was marked corrected by the consultant visit. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care During today’s visit, stipulation #1 was met. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures Due to the children’s arrival time not being recorded for #121, stipulation #4 was not met during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. There were fifty-two (52) children with one (1) group leader and one (1) Youth Program Director present in the field. 10A NCAC 09 .2818 Technical assistance was provided as follows: 1756: Enhanced staff/child ratio Your facility’s restriction includes enhanced staff/child ratios. For the school-age children, you shall maintain one (1) staff to twenty (20) children. The maximum group size for one (1) group leader is twenty-five (25) children. Please establish a line of communication and support system when unexpected absences of staff members occur to ensure the safety of children. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) The center shall comply with the following staff/child ratios and maximum group sizes. The children six (6) years of age and above, the facility shall maintain one (1) staff to twenty (20) children ratio with maximum group size of twenty-five (25). Achieving Compliance: A follow-up visit will be conducted to verify compliance of item 1756, staff/child ratio and group size violation. Consultation is provided as follows: Even though the children’s arrival time was not appropriately recorded for today in #121, the violation was not cited during today’s visit since you have until August 14th, 2024, to meet the compliance. Supervision during meal time: We discussed that staff members shall be able to see and hear the children during meal time. Choking often occurs in silence. Please make sure to communicate this requirement to each teacher. Due to additional violation for staff/child ratios and group size, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 .2818 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 8/6/2024 Number Present: 113 Completed Date: 8/6/2024 Age: From 0 To 12 Total Minutes: 139 Time In: 09:00 AM Time Out: 11:19 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor compliance during a complaint follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Amber Williams, Early Education Director, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me during today’s visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/6/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. The allegation for supervision was substantiated during a complaint visit conducted on 7/31/24. Per video footage and interview conducted, on 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. Upon arrival, I announced my presence and the purpose of the visit. I monitored the children in each classroom. In #121, a group of seven (7) children, three (3) years of age were present with two (2) teachers and one (1) volunteer. Some children had morning snack they brought from home, and other children played with housekeeping materials. One (1) teacher supervised the children eating, and the other teacher read books to a child. On the “Weekly attendance and face count sheet”, six (6) children had check marks, and there was no log for today. The record for yesterday showed transition between the playground and the classroom. In #127, a group of nine (9) children, three-to-four years of age engaged in free play with art activities and reading. On the weekly attendance and face count sheet, each child’s arrival time for today was logged. For yesterday, transitions were recorded including when two (2) children’s use of bathroom. In #129, a group of six (6) children, three-to-four years of age, participated in group time. The children and a teacher sang nursery rhymes. On the weekly attendance and face count sheet, six (6) children’s arrival time was recorded for today. For yesterday, transitions were recorded. In space #128, a group of four (4) children, four-to-five years of age, engaged in small group activities. The children used counting animals to sort and count. On the weekly attendance and face count sheet, detailed record of transitions, including transitions from the classroom to the pool and each child’s bathroom use while he/she/they was on the playground for yesterday. The children’s arrival time for today were recorded as well. In #130, a group of seven (7) children, four-to-five years of age, engaged in art and manipulative activities. On the weekly attendance and face count sheet, detailed record of transitions, including transitions from the classroom to the pool and each child’s bathroom use while he/she/they was on the playground for yesterday. The children’s arrival time for today were recorded as well. In #103, a group of eight (8) children, two-to-three years of age, engaged in free play with soft blocks, books and other materials. Today’s transition from the classroom to outside was accurately logged. In #104, a group of six (6) children, three (3) years of age, participated in group reading time. One (1) child arrived during the observation, and one (1) of the teachers logged the child’s arrival time on the weekly attendance and face count sheet. Today’s transition from the classroom to outside was accurately logged. In the toddler classroom, eight (8) children, one-to-two years of age, were present. The children played with toy vehicles, books, toy barns and other materials. On the weekly attendance and face count sheet, all children’s arrival times were recorded for today, and the transitions were logged for yesterday. In the infant classroom, six (6) children, zero-to-one year of age, were present. The children played with toy vehicles, books, toy barns and other materials. On the weekly attendance and face count sheet, all children’s arrival times were recorded for today, and the transitions were logged for yesterday. Afterschool/summer camp children were observed. All children were gathered in the field. During the observation, one (1) group leader took six (6) children to the bathroom, while one (1) youth program director stayed with forty-six (46) children. There were seven (7) volunteers, thirteen-to-fifteen years of age, present. These volunteers did not count in ratios. The program uses fifteen (15) minute face count sheet. During the visit, the youth program director did not have accurate counts of the children present. When the group leader returned to the field, there were two (2) staff members with fifty-two (52) children. The ratio for this program is one (1) staff to twenty (20) children. Supervision of children and interactions were adequate. The violation item 303 cited during a complaint visit conducted on July 31, 2024 was marked corrected by the consultant visit. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care During today’s visit, stipulation #1 was met. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures Due to the children’s arrival time not being recorded for #121, stipulation #4 was not met during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. There were fifty-two (52) children with one (1) group leader and one (1) Youth Program Director present in the field. 10A NCAC 09 .2818 Technical assistance was provided as follows: 1756: Enhanced staff/child ratio Your facility’s restriction includes enhanced staff/child ratios. For the school-age children, you shall maintain one (1) staff to twenty (20) children. The maximum group size for one (1) group leader is twenty-five (25) children. Please establish a line of communication and support system when unexpected absences of staff members occur to ensure the safety of children. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) The center shall comply with the following staff/child ratios and maximum group sizes. The children six (6) years of age and above, the facility shall maintain one (1) staff to twenty (20) children ratio with maximum group size of twenty-five (25). Achieving Compliance: A follow-up visit will be conducted to verify compliance of item 1756, staff/child ratio and group size violation. Consultation is provided as follows: Even though the children’s arrival time was not appropriately recorded for today in #121, the violation was not cited during today’s visit since you have until August 14th, 2024, to meet the compliance. Supervision during meal time: We discussed that staff members shall be able to see and hear the children during meal time. Choking often occurs in silence. Please make sure to communicate this requirement to each teacher. Due to additional violation for staff/child ratios and group size, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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. 1801 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 8/6/2024 Number Present: 113 Completed Date: 8/6/2024 Age: From 0 To 12 Total Minutes: 139 Time In: 09:00 AM Time Out: 11:19 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor compliance during a complaint follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Amber Williams, Early Education Director, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me during today’s visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/6/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. The allegation for supervision was substantiated during a complaint visit conducted on 7/31/24. Per video footage and interview conducted, on 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. Upon arrival, I announced my presence and the purpose of the visit. I monitored the children in each classroom. In #121, a group of seven (7) children, three (3) years of age were present with two (2) teachers and one (1) volunteer. Some children had morning snack they brought from home, and other children played with housekeeping materials. One (1) teacher supervised the children eating, and the other teacher read books to a child. On the “Weekly attendance and face count sheet”, six (6) children had check marks, and there was no log for today. The record for yesterday showed transition between the playground and the classroom. In #127, a group of nine (9) children, three-to-four years of age engaged in free play with art activities and reading. On the weekly attendance and face count sheet, each child’s arrival time for today was logged. For yesterday, transitions were recorded including when two (2) children’s use of bathroom. In #129, a group of six (6) children, three-to-four years of age, participated in group time. The children and a teacher sang nursery rhymes. On the weekly attendance and face count sheet, six (6) children’s arrival time was recorded for today. For yesterday, transitions were recorded. In space #128, a group of four (4) children, four-to-five years of age, engaged in small group activities. The children used counting animals to sort and count. On the weekly attendance and face count sheet, detailed record of transitions, including transitions from the classroom to the pool and each child’s bathroom use while he/she/they was on the playground for yesterday. The children’s arrival time for today were recorded as well. In #130, a group of seven (7) children, four-to-five years of age, engaged in art and manipulative activities. On the weekly attendance and face count sheet, detailed record of transitions, including transitions from the classroom to the pool and each child’s bathroom use while he/she/they was on the playground for yesterday. The children’s arrival time for today were recorded as well. In #103, a group of eight (8) children, two-to-three years of age, engaged in free play with soft blocks, books and other materials. Today’s transition from the classroom to outside was accurately logged. In #104, a group of six (6) children, three (3) years of age, participated in group reading time. One (1) child arrived during the observation, and one (1) of the teachers logged the child’s arrival time on the weekly attendance and face count sheet. Today’s transition from the classroom to outside was accurately logged. In the toddler classroom, eight (8) children, one-to-two years of age, were present. The children played with toy vehicles, books, toy barns and other materials. On the weekly attendance and face count sheet, all children’s arrival times were recorded for today, and the transitions were logged for yesterday. In the infant classroom, six (6) children, zero-to-one year of age, were present. The children played with toy vehicles, books, toy barns and other materials. On the weekly attendance and face count sheet, all children’s arrival times were recorded for today, and the transitions were logged for yesterday. Afterschool/summer camp children were observed. All children were gathered in the field. During the observation, one (1) group leader took six (6) children to the bathroom, while one (1) youth program director stayed with forty-six (46) children. There were seven (7) volunteers, thirteen-to-fifteen years of age, present. These volunteers did not count in ratios. The program uses fifteen (15) minute face count sheet. During the visit, the youth program director did not have accurate counts of the children present. When the group leader returned to the field, there were two (2) staff members with fifty-two (52) children. The ratio for this program is one (1) staff to twenty (20) children. Supervision of children and interactions were adequate. The violation item 303 cited during a complaint visit conducted on July 31, 2024 was marked corrected by the consultant visit. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care During today’s visit, stipulation #1 was met. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures Due to the children’s arrival time not being recorded for #121, stipulation #4 was not met during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. There were fifty-two (52) children with one (1) group leader and one (1) Youth Program Director present in the field. 10A NCAC 09 .2818 Technical assistance was provided as follows: 1756: Enhanced staff/child ratio Your facility’s restriction includes enhanced staff/child ratios. For the school-age children, you shall maintain one (1) staff to twenty (20) children. The maximum group size for one (1) group leader is twenty-five (25) children. Please establish a line of communication and support system when unexpected absences of staff members occur to ensure the safety of children. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) The center shall comply with the following staff/child ratios and maximum group sizes. The children six (6) years of age and above, the facility shall maintain one (1) staff to twenty (20) children ratio with maximum group size of twenty-five (25). Achieving Compliance: A follow-up visit will be conducted to verify compliance of item 1756, staff/child ratio and group size violation. Consultation is provided as follows: Even though the children’s arrival time was not appropriately recorded for today in #121, the violation was not cited during today’s visit since you have until August 14th, 2024, to meet the compliance. Supervision during meal time: We discussed that staff members shall be able to see and hear the children during meal time. Choking often occurs in silence. Please make sure to communicate this requirement to each teacher. Due to additional violation for staff/child ratios and group size, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 8/6/2024 Number Present: 113 Completed Date: 8/6/2024 Age: From 0 To 12 Total Minutes: 139 Time In: 09:00 AM Time Out: 11:19 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit is to monitor compliance during a complaint follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Amber Williams, Early Education Director, during the visit. A signed copy of the visit summary was emailed to you. Ms. Williams accompanied me during today’s visit. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 8/6/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. The allegation for supervision was substantiated during a complaint visit conducted on 7/31/24. Per video footage and interview conducted, on 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. Upon arrival, I announced my presence and the purpose of the visit. I monitored the children in each classroom. In #121, a group of seven (7) children, three (3) years of age were present with two (2) teachers and one (1) volunteer. Some children had morning snack they brought from home, and other children played with housekeeping materials. One (1) teacher supervised the children eating, and the other teacher read books to a child. On the “Weekly attendance and face count sheet”, six (6) children had check marks, and there was no log for today. The record for yesterday showed transition between the playground and the classroom. In #127, a group of nine (9) children, three-to-four years of age engaged in free play with art activities and reading. On the weekly attendance and face count sheet, each child’s arrival time for today was logged. For yesterday, transitions were recorded including when two (2) children’s use of bathroom. In #129, a group of six (6) children, three-to-four years of age, participated in group time. The children and a teacher sang nursery rhymes. On the weekly attendance and face count sheet, six (6) children’s arrival time was recorded for today. For yesterday, transitions were recorded. In space #128, a group of four (4) children, four-to-five years of age, engaged in small group activities. The children used counting animals to sort and count. On the weekly attendance and face count sheet, detailed record of transitions, including transitions from the classroom to the pool and each child’s bathroom use while he/she/they was on the playground for yesterday. The children’s arrival time for today were recorded as well. In #130, a group of seven (7) children, four-to-five years of age, engaged in art and manipulative activities. On the weekly attendance and face count sheet, detailed record of transitions, including transitions from the classroom to the pool and each child’s bathroom use while he/she/they was on the playground for yesterday. The children’s arrival time for today were recorded as well. In #103, a group of eight (8) children, two-to-three years of age, engaged in free play with soft blocks, books and other materials. Today’s transition from the classroom to outside was accurately logged. In #104, a group of six (6) children, three (3) years of age, participated in group reading time. One (1) child arrived during the observation, and one (1) of the teachers logged the child’s arrival time on the weekly attendance and face count sheet. Today’s transition from the classroom to outside was accurately logged. In the toddler classroom, eight (8) children, one-to-two years of age, were present. The children played with toy vehicles, books, toy barns and other materials. On the weekly attendance and face count sheet, all children’s arrival times were recorded for today, and the transitions were logged for yesterday. In the infant classroom, six (6) children, zero-to-one year of age, were present. The children played with toy vehicles, books, toy barns and other materials. On the weekly attendance and face count sheet, all children’s arrival times were recorded for today, and the transitions were logged for yesterday. Afterschool/summer camp children were observed. All children were gathered in the field. During the observation, one (1) group leader took six (6) children to the bathroom, while one (1) youth program director stayed with forty-six (46) children. There were seven (7) volunteers, thirteen-to-fifteen years of age, present. These volunteers did not count in ratios. The program uses fifteen (15) minute face count sheet. During the visit, the youth program director did not have accurate counts of the children present. When the group leader returned to the field, there were two (2) staff members with fifty-two (52) children. The ratio for this program is one (1) staff to twenty (20) children. Supervision of children and interactions were adequate. The violation item 303 cited during a complaint visit conducted on July 31, 2024 was marked corrected by the consultant visit. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care During today’s visit, stipulation #1 was met. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures Due to the children’s arrival time not being recorded for #121, stipulation #4 was not met during today’s visit. The following violations were documented during today’s visit: Violation Number Comment Rule 1756 Enhanced staff/child ratios and group sizes were not met. There were fifty-two (52) children with one (1) group leader and one (1) Youth Program Director present in the field. 10A NCAC 09 .2818 Technical assistance was provided as follows: 1756: Enhanced staff/child ratio Your facility’s restriction includes enhanced staff/child ratios. For the school-age children, you shall maintain one (1) staff to twenty (20) children. The maximum group size for one (1) group leader is twenty-five (25) children. Please establish a line of communication and support system when unexpected absences of staff members occur to ensure the safety of children. 10A NCAC 09 .2818 ENHANCED STAFF/CHILD RATIOS FOR A RATED LICENSE FOR CHILD CARE CENTERS (b) The center shall comply with the following staff/child ratios and maximum group sizes. The children six (6) years of age and above, the facility shall maintain one (1) staff to twenty (20) children ratio with maximum group size of twenty-five (25). Achieving Compliance: A follow-up visit will be conducted to verify compliance of item 1756, staff/child ratio and group size violation. Consultation is provided as follows: Even though the children’s arrival time was not appropriately recorded for today in #121, the violation was not cited during today’s visit since you have until August 14th, 2024, to meet the compliance. Supervision during meal time: We discussed that staff members shall be able to see and hear the children during meal time. Choking often occurs in silence. Please make sure to communicate this requirement to each teacher. Due to additional violation for staff/child ratios and group size, you may be considered for Administrative Action. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 7/31/2024 Number Present: 137 Completed Date: 7/31/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lauren Wood, Associate Director of Child Care Compliance, during the visit. A signed copy of the visit summary was emailed to you. Amber Williams, Early Education Director and Ms. Wood accompanied me. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 7/23/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. Children were observed in each classroom. Some children played on the playground and the other group of children transitioned to and from the pool. Transition process and the supervision procedures were mainly monitored during today’s visit. Per Ms. Wood, the incident occurred on 7/18/24 at approximately 9:45am. A three-year-old child was left in the bathroom for approximately 15 minutes upon a transition from the classroom to the pool. At the time of the incident, “Weekly Attendance & Face Count Sheet” was already implemented due to the previous supervision violation. The face count sheet was not filled out by the teacher at the time of the incident. Video footage was monitored. On 7/18/24 at 9:44 am, a group of ten (10) children, three-to-four years of age, started transitioning process to the pool. There were three (3) teachers present. One (1) child went to the bathroom. While the child was in the bathroom, all the other children sat on the chair. Two (2) teachers were assumed to be at the door calling each child’s name. As each child was called, he/she headed to the door. The area around the door was not seen on the video due to the area being a blind spot. When all the children lined up, three (3) teachers and nine (9) children left the classroom at 9:49:22 am. The child left behind is seen coming out of the bathroom area at 9:52:50 am. The child walked around the classroom until 10:06:50 am when Ms. Williams found the child. A group of two-to-three-year-old children from #121 transitioned from the pool to the classroom. One (1) teacher led the group, and the other teacher pulled a wagon at the end of the line. The front teacher looked back and checked the children multiple times during the transition. Upon entering the classroom, the front teacher entered the classroom, followed by the children and the other teacher with the wagon. Head Counts or name-to-face count was not taken upon entering the classroom. The face count sheet has not been filled out since 10:45 am on 7/29/24 for this classroom. The transition procedures from the classroom to the pool was observed in space #127. Ten (10) children, four (4) years of age, were present in the classroom. Upon arrival in the classroom, the children were already wearing bathing suit. One (1) teacher was in and out of the classroom, getting ready for the pool visit. The other teacher supervised the children. Three (3) children were observed to jump on the extra cots stacked together behind the shelf by the bathroom. Four (4) children got on one (1) of the children’s cots and jumped off. Two (2) children played with train tracks. The teacher supervised the group of children helped with clean up, read a book to the children while they were waiting for the transition. The other teacher continued to prepare for the field trip by collecting children’s water bottles from their cubbies and loaded them in the wagon and bringing children’s shoes from the hallway. The ratio was maintained. The Face Count sheet was monitored. At the time of the visit in space # 127, no log was made for today. Ms. Williams directed one (1) of the teachers to correct the sheet. The teacher wrote down 7/29, 10:30 (am), 10 (children) Playground, 7/29, 3:30 (pm), 10 (children), PG, 7/31, 9:30 (am), 9 (children), PG and 7/31, 10:45 (am), 10 (children), pool. At the time of correction, the group of the children was still preparing for the transition to the pool. When preparation was completed, the children lined up in front of the door. One (1) teacher took the face-to-head counts by calling each child's name. After the head counts, both teachers went to the hallway leaving all the children inside. Then the children came out of the classroom holding a rope. The group went through two (2) separate doors and went outside to walk to the pool. The head count of the children or name-to-face counts were not taken when the children were in the hallway or when they stepped outside. The children from space #128 and #130 were combined on the playground. There were four (4) teachers present on the playground. One (1) teacher took a child inside to the bathroom during the observation. The children from space #103 and #104 were combined on the playground. During observation, one (1) child fell on the concrete and injured his/her left temple. A teacher from #104 took the child in the classroom, attended the child and filled out an incident form. While the teacher was attending the child, the other classroom teacher from #104 came in the classroom and left for his/her thirty-minute break, leaving a total of sixteen (16) children from two (2) classrooms to two (2) teachers in space #103. The staff/child ratio was maintained but the transition was not logged on the face-to-head count sheet. The Face count sheet for space #130 was filled out in details. Per log, the transition was logged as follows: 9:40 (am), 8 (children), OLE, 9:45 (am), 1 (child), OLE-OT, and 10:45 (am), 1 (child) OT-OLE. This showed that the one (1) child receiving OT therapy, when he/she left the playground and when he/she came back to the playground. The Face count sheet for space #128 had not been logged since 7/29/24. The face count sheet for space #103 was not utilized for today’s transition. The face count sheet for space #104 was not utilized for today’s transition. In space #129, the face count sheet was logged up to date. The teachers logged 10:55 (am), 8 (children) to pool, 11:01 *am), 8 (children, to classroom, and 11:15 (am), 8 (children), arrived classroom. In space #111 a group of school-age children had lunch. One (1) group leader supervised the children. In separate building, an infant classroom and a toddler classroom were monitored. The face to count sheet was filled up to date for the infant room. The face to count sheet was not filled out for the toddler’s room. Meal time was observed in space #128, 129 and 130. At least one (1) teacher sitting with the children or standing by the table and supervised the children. Along with the Face to count sheet, attendance record was monitored in each classroom. For this facility, parents signed in the arrival and departure time on the clipboard outside of the classroom. Teachers in the classroom check off the child on the “Weekly Attendance & Face Count Sheet”. In space #121, six (6) children were signed in by the parents, but eight (8) children were present. In space #127, ten (10) children were present but only seven (7) children were present. The attendance was not taken for today for this classroom until teachers were directed to do so by Ms. Williams. In #129, seven (7) children were signed in, but eight (8) children were present. In #130, eight (8) children were present, but five (5) children were signed in. The sign-in sheet was accurate for #103, 104 and 128. For the attendance record for 7/29/24 and 7/30/24, many children were not signed out by the parents. Per interview with Ms. Williams and Ms. Wood, the supervisory staff members monitor, supervision procedures, the use of the Face to count sheet and attendance approximately once every two (2) weeks. The supervision process was not adequate enough to prevent another supervision mistakes for the following reasons: • Many teachers has not utilized the “Weekly Attendance & Face Count Sheet” upon arrival of children and upon transition. • Due to inadequate sign-in process by the parents and teachers, each teacher may not know the correct counts of the children in the classroom. • There were frequent transitions of children on the playground for bathroom use, injuries and therapy. Not all transitions of each child were logged, therefore, no all teachers may not have known the accurate counts of the children on the playground. Multiple classrooms were combined on the playground and some teachers supervised the children from different classrooms. Without communication among teachers on the playground, it could lead to potential supervision mistakes. • The transition process was inadequate for teacher’s positions and use of name-to-head counts. Even if the name-to-face count was completed, if both teachers were in the hallway and leaving children in the classroom, some children may have strayed from the line. Therefore, the name-to-face count needed to be taken during the children are transitioning from the classroom to the hallway or before, during and after the transition. One (1) teacher should have been in front of the line and the other teacher should have been positioned at the end of the line. Both teachers should have been taking name-to-face counts without relying on the other teacher. • Teachers sharing the playground did not communicate with one another. Upon leaving the group for a break, diaper change, bathroom use, etc. each teacher should have communicated with the rest of the teachers on the playground to prevent possible mistakes. • Monitoring of supervision procedure by the supervisory staff is not frequent enough to prevent mistakes. The facility received Administrative Action issued on 4/5/24. The following stipulations on the corrective action plan were also monitored. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care Due to item 303 supervision violation was cited during the visit, stipulation #1 was not met during the visit. Stipulation #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Kaitlyn Marshall, Child Care Consultant, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, to arrange for a complete review of all applicable child care requirements. Special emphasis shall be placed on violations included with this Notice. The review must be scheduled on a weekday between the hours of 9:00 am and 4:00 pm. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #3: Within one (1) week after the rules review is completed, Ms. Williams shall develop a written plan to ensure children are cared for in a safe and healthy environment and treated in a nurturing and caring manner. The written plan shall include, but not be limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rule 10A NCAC 09 .0604(i) regarding required non-smoking signage • A plan to ensure no smoking signage is posted as required • A plan to ensure staff, parents, and visitors do not smoke while on the facility premises • Procedures for staff to interact with children in a nurturing and caring manner • Acceptable and unacceptable techniques used to handle children to prevent injuries • Procedures for staff during breaks and meal times, including a requirement that staff cannot consume hot foods or beverages in areas children are cared for • Procedures for routine observations and evaluations of each staff member to ensure compliance with child care requirements and facilities policies and procedures related to care, treatment, and safety of children • Procedures for staff to notify administrators of concerns in a timely manner, including when administrators are off premises • Procedures for the facility’s administrators to respond to all reports of inappropriate care, treatment, or safety of children, including a requirement to notify the child’s parent when an incident occurs • Consequences for staff members who fail to comply with the facility’s policies and/or child care requirements • A plan for regular review of the plan with all staff members, including a review of the plan in orientation of new staff members before they assume child care responsibilities Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The supervision written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for approval. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Ms. Wood, stipulation #4 was submitted and approved by Kaitlyn Marshall, Child Care Consultant. However, the staff members are not following these procedures during today’s observation. Therefore, stipulation #4 was not met during today’s visit. Stipulation #5: Within three (3) weeks after the rules review is completed, Ms. Williams shall develop supplementary written policies and procedures to the facility’s existing Emergency Medical Care (EMC) plan that provides clear instructions to staff members regarding implementation of the EMC plan. The written policies and procedures regarding the EMC plan shall include, but not be limited to, the following: • A requirement and procedures for staff members to document any observations regarding potential or suspected injuries of children • A requirement that the person calling 911 have knowledge of the situation • Procedures for documenting incidents on an incident report form and procedures for maintaining a copy of the form in the child’s file • Procedures for documenting incidents on the incident log form provided by the Division, including naming the individual responsible • A requirement for a copy of the CPR poster and First Aid poster to be posted in each building where children are provided care Per Julia Armstrong, Investigation Consultant, stipulation #5 was completed. A requirement and procedures for notifying parents, guardians, or documented emergency contacts of any incidents during which children may be injured or become ill; including the timeframe for notification and documentation of what information was provided, and to whom, during the notification process The policies and procedures shall be submitted to Ms. Armstrong for approval. Ms. Armstrong shall notify Ms. Williams, orally and in writing, as to whether the policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Stipulation #6: Within two (2) weeks after approval of the supplementary policies and procedures to the EMC plan, written plan to ensure children are cared for in a nurturing and safe environment, and written plan to ensure adequate supervision, Ms. Williams shall conduct a mandatory staff meeting to review the approved plans, policies, and procedures. Documentation of the staff meeting shall be an attendance roster with the printed and signed names of each participant and include the date, time, agenda, and minutes of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #6 was completed. Based on the interview and video footage, the allegation regarding supervision is substantiated. 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. In #127, one (1) child was not signed out on 7/29/24, two (2) children were not signed out on 7/30/24, and three (3) children were not signed in today. In #129, two (2) children were not signed out on 7/30/24 and one (1) child was not signed in on 7/30/24. In #130, three (3) children were not signed in today. In #121, two (2) children were not signed in today. In the infant room, two (2) children were not signed out on 7/29/24 and two (2) children were not signed out on 7/30/24. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. On 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. .1801(a)(1-5) Technical assistance was provided as follows: Item #125: Record of arrival and departure Daily record of arrival and departure including the time of arrival and departure for each child shall be maintained accurately. The accurate record of arrival and departure is the first step to prevent supervision mistakes. Each classroom teacher should supervise and supplement each child’s arrival and departure time. 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 #303: Supervision I advise reviewing your facility’s supervision procedures. For the most effective supervision, the teachers may need training during the actual transition process. The positioning of the teachers, when and how to take face counts, what teachers should be doing during the transitions, tools for easier transitions should be reviewed, discussed, revised and implemented. Additional tools, such as door stoppers are useful so that the teachers do not have to rely on the children to hold the door. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Corrective Action Plan: Even though a follow-up visit will be conducted due to violation item303, a separate compliance letter is required for violation item 125. Please follow the below procedures and submit your compliance letter for item 125. 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 8/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed different ways to prevent supervision mistakes including more frequent monitoring by the supervisory staff members, review and training of transition process by the classroom staff members and implementing consequences for incompliance. We also discussed possible Administrative Action for the violation cited during today's visit. I will make a follow-up visit, and a visit every four-to-six weeks afterwards. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 7/31/2024 Number Present: 137 Completed Date: 7/31/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lauren Wood, Associate Director of Child Care Compliance, during the visit. A signed copy of the visit summary was emailed to you. Amber Williams, Early Education Director and Ms. Wood accompanied me. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 7/23/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. Children were observed in each classroom. Some children played on the playground and the other group of children transitioned to and from the pool. Transition process and the supervision procedures were mainly monitored during today’s visit. Per Ms. Wood, the incident occurred on 7/18/24 at approximately 9:45am. A three-year-old child was left in the bathroom for approximately 15 minutes upon a transition from the classroom to the pool. At the time of the incident, “Weekly Attendance & Face Count Sheet” was already implemented due to the previous supervision violation. The face count sheet was not filled out by the teacher at the time of the incident. Video footage was monitored. On 7/18/24 at 9:44 am, a group of ten (10) children, three-to-four years of age, started transitioning process to the pool. There were three (3) teachers present. One (1) child went to the bathroom. While the child was in the bathroom, all the other children sat on the chair. Two (2) teachers were assumed to be at the door calling each child’s name. As each child was called, he/she headed to the door. The area around the door was not seen on the video due to the area being a blind spot. When all the children lined up, three (3) teachers and nine (9) children left the classroom at 9:49:22 am. The child left behind is seen coming out of the bathroom area at 9:52:50 am. The child walked around the classroom until 10:06:50 am when Ms. Williams found the child. A group of two-to-three-year-old children from #121 transitioned from the pool to the classroom. One (1) teacher led the group, and the other teacher pulled a wagon at the end of the line. The front teacher looked back and checked the children multiple times during the transition. Upon entering the classroom, the front teacher entered the classroom, followed by the children and the other teacher with the wagon. Head Counts or name-to-face count was not taken upon entering the classroom. The face count sheet has not been filled out since 10:45 am on 7/29/24 for this classroom. The transition procedures from the classroom to the pool was observed in space #127. Ten (10) children, four (4) years of age, were present in the classroom. Upon arrival in the classroom, the children were already wearing bathing suit. One (1) teacher was in and out of the classroom, getting ready for the pool visit. The other teacher supervised the children. Three (3) children were observed to jump on the extra cots stacked together behind the shelf by the bathroom. Four (4) children got on one (1) of the children’s cots and jumped off. Two (2) children played with train tracks. The teacher supervised the group of children helped with clean up, read a book to the children while they were waiting for the transition. The other teacher continued to prepare for the field trip by collecting children’s water bottles from their cubbies and loaded them in the wagon and bringing children’s shoes from the hallway. The ratio was maintained. The Face Count sheet was monitored. At the time of the visit in space # 127, no log was made for today. Ms. Williams directed one (1) of the teachers to correct the sheet. The teacher wrote down 7/29, 10:30 (am), 10 (children) Playground, 7/29, 3:30 (pm), 10 (children), PG, 7/31, 9:30 (am), 9 (children), PG and 7/31, 10:45 (am), 10 (children), pool. At the time of correction, the group of the children was still preparing for the transition to the pool. When preparation was completed, the children lined up in front of the door. One (1) teacher took the face-to-head counts by calling each child's name. After the head counts, both teachers went to the hallway leaving all the children inside. Then the children came out of the classroom holding a rope. The group went through two (2) separate doors and went outside to walk to the pool. The head count of the children or name-to-face counts were not taken when the children were in the hallway or when they stepped outside. The children from space #128 and #130 were combined on the playground. There were four (4) teachers present on the playground. One (1) teacher took a child inside to the bathroom during the observation. The children from space #103 and #104 were combined on the playground. During observation, one (1) child fell on the concrete and injured his/her left temple. A teacher from #104 took the child in the classroom, attended the child and filled out an incident form. While the teacher was attending the child, the other classroom teacher from #104 came in the classroom and left for his/her thirty-minute break, leaving a total of sixteen (16) children from two (2) classrooms to two (2) teachers in space #103. The staff/child ratio was maintained but the transition was not logged on the face-to-head count sheet. The Face count sheet for space #130 was filled out in details. Per log, the transition was logged as follows: 9:40 (am), 8 (children), OLE, 9:45 (am), 1 (child), OLE-OT, and 10:45 (am), 1 (child) OT-OLE. This showed that the one (1) child receiving OT therapy, when he/she left the playground and when he/she came back to the playground. The Face count sheet for space #128 had not been logged since 7/29/24. The face count sheet for space #103 was not utilized for today’s transition. The face count sheet for space #104 was not utilized for today’s transition. In space #129, the face count sheet was logged up to date. The teachers logged 10:55 (am), 8 (children) to pool, 11:01 *am), 8 (children, to classroom, and 11:15 (am), 8 (children), arrived classroom. In space #111 a group of school-age children had lunch. One (1) group leader supervised the children. In separate building, an infant classroom and a toddler classroom were monitored. The face to count sheet was filled up to date for the infant room. The face to count sheet was not filled out for the toddler’s room. Meal time was observed in space #128, 129 and 130. At least one (1) teacher sitting with the children or standing by the table and supervised the children. Along with the Face to count sheet, attendance record was monitored in each classroom. For this facility, parents signed in the arrival and departure time on the clipboard outside of the classroom. Teachers in the classroom check off the child on the “Weekly Attendance & Face Count Sheet”. In space #121, six (6) children were signed in by the parents, but eight (8) children were present. In space #127, ten (10) children were present but only seven (7) children were present. The attendance was not taken for today for this classroom until teachers were directed to do so by Ms. Williams. In #129, seven (7) children were signed in, but eight (8) children were present. In #130, eight (8) children were present, but five (5) children were signed in. The sign-in sheet was accurate for #103, 104 and 128. For the attendance record for 7/29/24 and 7/30/24, many children were not signed out by the parents. Per interview with Ms. Williams and Ms. Wood, the supervisory staff members monitor, supervision procedures, the use of the Face to count sheet and attendance approximately once every two (2) weeks. The supervision process was not adequate enough to prevent another supervision mistakes for the following reasons: • Many teachers has not utilized the “Weekly Attendance & Face Count Sheet” upon arrival of children and upon transition. • Due to inadequate sign-in process by the parents and teachers, each teacher may not know the correct counts of the children in the classroom. • There were frequent transitions of children on the playground for bathroom use, injuries and therapy. Not all transitions of each child were logged, therefore, no all teachers may not have known the accurate counts of the children on the playground. Multiple classrooms were combined on the playground and some teachers supervised the children from different classrooms. Without communication among teachers on the playground, it could lead to potential supervision mistakes. • The transition process was inadequate for teacher’s positions and use of name-to-head counts. Even if the name-to-face count was completed, if both teachers were in the hallway and leaving children in the classroom, some children may have strayed from the line. Therefore, the name-to-face count needed to be taken during the children are transitioning from the classroom to the hallway or before, during and after the transition. One (1) teacher should have been in front of the line and the other teacher should have been positioned at the end of the line. Both teachers should have been taking name-to-face counts without relying on the other teacher. • Teachers sharing the playground did not communicate with one another. Upon leaving the group for a break, diaper change, bathroom use, etc. each teacher should have communicated with the rest of the teachers on the playground to prevent possible mistakes. • Monitoring of supervision procedure by the supervisory staff is not frequent enough to prevent mistakes. The facility received Administrative Action issued on 4/5/24. The following stipulations on the corrective action plan were also monitored. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care Due to item 303 supervision violation was cited during the visit, stipulation #1 was not met during the visit. Stipulation #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Kaitlyn Marshall, Child Care Consultant, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, to arrange for a complete review of all applicable child care requirements. Special emphasis shall be placed on violations included with this Notice. The review must be scheduled on a weekday between the hours of 9:00 am and 4:00 pm. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #3: Within one (1) week after the rules review is completed, Ms. Williams shall develop a written plan to ensure children are cared for in a safe and healthy environment and treated in a nurturing and caring manner. The written plan shall include, but not be limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rule 10A NCAC 09 .0604(i) regarding required non-smoking signage • A plan to ensure no smoking signage is posted as required • A plan to ensure staff, parents, and visitors do not smoke while on the facility premises • Procedures for staff to interact with children in a nurturing and caring manner • Acceptable and unacceptable techniques used to handle children to prevent injuries • Procedures for staff during breaks and meal times, including a requirement that staff cannot consume hot foods or beverages in areas children are cared for • Procedures for routine observations and evaluations of each staff member to ensure compliance with child care requirements and facilities policies and procedures related to care, treatment, and safety of children • Procedures for staff to notify administrators of concerns in a timely manner, including when administrators are off premises • Procedures for the facility’s administrators to respond to all reports of inappropriate care, treatment, or safety of children, including a requirement to notify the child’s parent when an incident occurs • Consequences for staff members who fail to comply with the facility’s policies and/or child care requirements • A plan for regular review of the plan with all staff members, including a review of the plan in orientation of new staff members before they assume child care responsibilities Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The supervision written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for approval. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Ms. Wood, stipulation #4 was submitted and approved by Kaitlyn Marshall, Child Care Consultant. However, the staff members are not following these procedures during today’s observation. Therefore, stipulation #4 was not met during today’s visit. Stipulation #5: Within three (3) weeks after the rules review is completed, Ms. Williams shall develop supplementary written policies and procedures to the facility’s existing Emergency Medical Care (EMC) plan that provides clear instructions to staff members regarding implementation of the EMC plan. The written policies and procedures regarding the EMC plan shall include, but not be limited to, the following: • A requirement and procedures for staff members to document any observations regarding potential or suspected injuries of children • A requirement that the person calling 911 have knowledge of the situation • Procedures for documenting incidents on an incident report form and procedures for maintaining a copy of the form in the child’s file • Procedures for documenting incidents on the incident log form provided by the Division, including naming the individual responsible • A requirement for a copy of the CPR poster and First Aid poster to be posted in each building where children are provided care Per Julia Armstrong, Investigation Consultant, stipulation #5 was completed. A requirement and procedures for notifying parents, guardians, or documented emergency contacts of any incidents during which children may be injured or become ill; including the timeframe for notification and documentation of what information was provided, and to whom, during the notification process The policies and procedures shall be submitted to Ms. Armstrong for approval. Ms. Armstrong shall notify Ms. Williams, orally and in writing, as to whether the policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Stipulation #6: Within two (2) weeks after approval of the supplementary policies and procedures to the EMC plan, written plan to ensure children are cared for in a nurturing and safe environment, and written plan to ensure adequate supervision, Ms. Williams shall conduct a mandatory staff meeting to review the approved plans, policies, and procedures. Documentation of the staff meeting shall be an attendance roster with the printed and signed names of each participant and include the date, time, agenda, and minutes of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #6 was completed. Based on the interview and video footage, the allegation regarding supervision is substantiated. 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. In #127, one (1) child was not signed out on 7/29/24, two (2) children were not signed out on 7/30/24, and three (3) children were not signed in today. In #129, two (2) children were not signed out on 7/30/24 and one (1) child was not signed in on 7/30/24. In #130, three (3) children were not signed in today. In #121, two (2) children were not signed in today. In the infant room, two (2) children were not signed out on 7/29/24 and two (2) children were not signed out on 7/30/24. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. On 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. .1801(a)(1-5) Technical assistance was provided as follows: Item #125: Record of arrival and departure Daily record of arrival and departure including the time of arrival and departure for each child shall be maintained accurately. The accurate record of arrival and departure is the first step to prevent supervision mistakes. Each classroom teacher should supervise and supplement each child’s arrival and departure time. 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 #303: Supervision I advise reviewing your facility’s supervision procedures. For the most effective supervision, the teachers may need training during the actual transition process. The positioning of the teachers, when and how to take face counts, what teachers should be doing during the transitions, tools for easier transitions should be reviewed, discussed, revised and implemented. Additional tools, such as door stoppers are useful so that the teachers do not have to rely on the children to hold the door. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Corrective Action Plan: Even though a follow-up visit will be conducted due to violation item303, a separate compliance letter is required for violation item 125. Please follow the below procedures and submit your compliance letter for item 125. 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 8/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed different ways to prevent supervision mistakes including more frequent monitoring by the supervisory staff members, review and training of transition process by the classroom staff members and implementing consequences for incompliance. We also discussed possible Administrative Action for the violation cited during today's visit. I will make a follow-up visit, and a visit every four-to-six weeks afterwards. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 .0601 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 7/31/2024 Number Present: 137 Completed Date: 7/31/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lauren Wood, Associate Director of Child Care Compliance, during the visit. A signed copy of the visit summary was emailed to you. Amber Williams, Early Education Director and Ms. Wood accompanied me. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 7/23/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. Children were observed in each classroom. Some children played on the playground and the other group of children transitioned to and from the pool. Transition process and the supervision procedures were mainly monitored during today’s visit. Per Ms. Wood, the incident occurred on 7/18/24 at approximately 9:45am. A three-year-old child was left in the bathroom for approximately 15 minutes upon a transition from the classroom to the pool. At the time of the incident, “Weekly Attendance & Face Count Sheet” was already implemented due to the previous supervision violation. The face count sheet was not filled out by the teacher at the time of the incident. Video footage was monitored. On 7/18/24 at 9:44 am, a group of ten (10) children, three-to-four years of age, started transitioning process to the pool. There were three (3) teachers present. One (1) child went to the bathroom. While the child was in the bathroom, all the other children sat on the chair. Two (2) teachers were assumed to be at the door calling each child’s name. As each child was called, he/she headed to the door. The area around the door was not seen on the video due to the area being a blind spot. When all the children lined up, three (3) teachers and nine (9) children left the classroom at 9:49:22 am. The child left behind is seen coming out of the bathroom area at 9:52:50 am. The child walked around the classroom until 10:06:50 am when Ms. Williams found the child. A group of two-to-three-year-old children from #121 transitioned from the pool to the classroom. One (1) teacher led the group, and the other teacher pulled a wagon at the end of the line. The front teacher looked back and checked the children multiple times during the transition. Upon entering the classroom, the front teacher entered the classroom, followed by the children and the other teacher with the wagon. Head Counts or name-to-face count was not taken upon entering the classroom. The face count sheet has not been filled out since 10:45 am on 7/29/24 for this classroom. The transition procedures from the classroom to the pool was observed in space #127. Ten (10) children, four (4) years of age, were present in the classroom. Upon arrival in the classroom, the children were already wearing bathing suit. One (1) teacher was in and out of the classroom, getting ready for the pool visit. The other teacher supervised the children. Three (3) children were observed to jump on the extra cots stacked together behind the shelf by the bathroom. Four (4) children got on one (1) of the children’s cots and jumped off. Two (2) children played with train tracks. The teacher supervised the group of children helped with clean up, read a book to the children while they were waiting for the transition. The other teacher continued to prepare for the field trip by collecting children’s water bottles from their cubbies and loaded them in the wagon and bringing children’s shoes from the hallway. The ratio was maintained. The Face Count sheet was monitored. At the time of the visit in space # 127, no log was made for today. Ms. Williams directed one (1) of the teachers to correct the sheet. The teacher wrote down 7/29, 10:30 (am), 10 (children) Playground, 7/29, 3:30 (pm), 10 (children), PG, 7/31, 9:30 (am), 9 (children), PG and 7/31, 10:45 (am), 10 (children), pool. At the time of correction, the group of the children was still preparing for the transition to the pool. When preparation was completed, the children lined up in front of the door. One (1) teacher took the face-to-head counts by calling each child's name. After the head counts, both teachers went to the hallway leaving all the children inside. Then the children came out of the classroom holding a rope. The group went through two (2) separate doors and went outside to walk to the pool. The head count of the children or name-to-face counts were not taken when the children were in the hallway or when they stepped outside. The children from space #128 and #130 were combined on the playground. There were four (4) teachers present on the playground. One (1) teacher took a child inside to the bathroom during the observation. The children from space #103 and #104 were combined on the playground. During observation, one (1) child fell on the concrete and injured his/her left temple. A teacher from #104 took the child in the classroom, attended the child and filled out an incident form. While the teacher was attending the child, the other classroom teacher from #104 came in the classroom and left for his/her thirty-minute break, leaving a total of sixteen (16) children from two (2) classrooms to two (2) teachers in space #103. The staff/child ratio was maintained but the transition was not logged on the face-to-head count sheet. The Face count sheet for space #130 was filled out in details. Per log, the transition was logged as follows: 9:40 (am), 8 (children), OLE, 9:45 (am), 1 (child), OLE-OT, and 10:45 (am), 1 (child) OT-OLE. This showed that the one (1) child receiving OT therapy, when he/she left the playground and when he/she came back to the playground. The Face count sheet for space #128 had not been logged since 7/29/24. The face count sheet for space #103 was not utilized for today’s transition. The face count sheet for space #104 was not utilized for today’s transition. In space #129, the face count sheet was logged up to date. The teachers logged 10:55 (am), 8 (children) to pool, 11:01 *am), 8 (children, to classroom, and 11:15 (am), 8 (children), arrived classroom. In space #111 a group of school-age children had lunch. One (1) group leader supervised the children. In separate building, an infant classroom and a toddler classroom were monitored. The face to count sheet was filled up to date for the infant room. The face to count sheet was not filled out for the toddler’s room. Meal time was observed in space #128, 129 and 130. At least one (1) teacher sitting with the children or standing by the table and supervised the children. Along with the Face to count sheet, attendance record was monitored in each classroom. For this facility, parents signed in the arrival and departure time on the clipboard outside of the classroom. Teachers in the classroom check off the child on the “Weekly Attendance & Face Count Sheet”. In space #121, six (6) children were signed in by the parents, but eight (8) children were present. In space #127, ten (10) children were present but only seven (7) children were present. The attendance was not taken for today for this classroom until teachers were directed to do so by Ms. Williams. In #129, seven (7) children were signed in, but eight (8) children were present. In #130, eight (8) children were present, but five (5) children were signed in. The sign-in sheet was accurate for #103, 104 and 128. For the attendance record for 7/29/24 and 7/30/24, many children were not signed out by the parents. Per interview with Ms. Williams and Ms. Wood, the supervisory staff members monitor, supervision procedures, the use of the Face to count sheet and attendance approximately once every two (2) weeks. The supervision process was not adequate enough to prevent another supervision mistakes for the following reasons: • Many teachers has not utilized the “Weekly Attendance & Face Count Sheet” upon arrival of children and upon transition. • Due to inadequate sign-in process by the parents and teachers, each teacher may not know the correct counts of the children in the classroom. • There were frequent transitions of children on the playground for bathroom use, injuries and therapy. Not all transitions of each child were logged, therefore, no all teachers may not have known the accurate counts of the children on the playground. Multiple classrooms were combined on the playground and some teachers supervised the children from different classrooms. Without communication among teachers on the playground, it could lead to potential supervision mistakes. • The transition process was inadequate for teacher’s positions and use of name-to-head counts. Even if the name-to-face count was completed, if both teachers were in the hallway and leaving children in the classroom, some children may have strayed from the line. Therefore, the name-to-face count needed to be taken during the children are transitioning from the classroom to the hallway or before, during and after the transition. One (1) teacher should have been in front of the line and the other teacher should have been positioned at the end of the line. Both teachers should have been taking name-to-face counts without relying on the other teacher. • Teachers sharing the playground did not communicate with one another. Upon leaving the group for a break, diaper change, bathroom use, etc. each teacher should have communicated with the rest of the teachers on the playground to prevent possible mistakes. • Monitoring of supervision procedure by the supervisory staff is not frequent enough to prevent mistakes. The facility received Administrative Action issued on 4/5/24. The following stipulations on the corrective action plan were also monitored. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care Due to item 303 supervision violation was cited during the visit, stipulation #1 was not met during the visit. Stipulation #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Kaitlyn Marshall, Child Care Consultant, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, to arrange for a complete review of all applicable child care requirements. Special emphasis shall be placed on violations included with this Notice. The review must be scheduled on a weekday between the hours of 9:00 am and 4:00 pm. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #3: Within one (1) week after the rules review is completed, Ms. Williams shall develop a written plan to ensure children are cared for in a safe and healthy environment and treated in a nurturing and caring manner. The written plan shall include, but not be limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rule 10A NCAC 09 .0604(i) regarding required non-smoking signage • A plan to ensure no smoking signage is posted as required • A plan to ensure staff, parents, and visitors do not smoke while on the facility premises • Procedures for staff to interact with children in a nurturing and caring manner • Acceptable and unacceptable techniques used to handle children to prevent injuries • Procedures for staff during breaks and meal times, including a requirement that staff cannot consume hot foods or beverages in areas children are cared for • Procedures for routine observations and evaluations of each staff member to ensure compliance with child care requirements and facilities policies and procedures related to care, treatment, and safety of children • Procedures for staff to notify administrators of concerns in a timely manner, including when administrators are off premises • Procedures for the facility’s administrators to respond to all reports of inappropriate care, treatment, or safety of children, including a requirement to notify the child’s parent when an incident occurs • Consequences for staff members who fail to comply with the facility’s policies and/or child care requirements • A plan for regular review of the plan with all staff members, including a review of the plan in orientation of new staff members before they assume child care responsibilities Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The supervision written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for approval. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Ms. Wood, stipulation #4 was submitted and approved by Kaitlyn Marshall, Child Care Consultant. However, the staff members are not following these procedures during today’s observation. Therefore, stipulation #4 was not met during today’s visit. Stipulation #5: Within three (3) weeks after the rules review is completed, Ms. Williams shall develop supplementary written policies and procedures to the facility’s existing Emergency Medical Care (EMC) plan that provides clear instructions to staff members regarding implementation of the EMC plan. The written policies and procedures regarding the EMC plan shall include, but not be limited to, the following: • A requirement and procedures for staff members to document any observations regarding potential or suspected injuries of children • A requirement that the person calling 911 have knowledge of the situation • Procedures for documenting incidents on an incident report form and procedures for maintaining a copy of the form in the child’s file • Procedures for documenting incidents on the incident log form provided by the Division, including naming the individual responsible • A requirement for a copy of the CPR poster and First Aid poster to be posted in each building where children are provided care Per Julia Armstrong, Investigation Consultant, stipulation #5 was completed. A requirement and procedures for notifying parents, guardians, or documented emergency contacts of any incidents during which children may be injured or become ill; including the timeframe for notification and documentation of what information was provided, and to whom, during the notification process The policies and procedures shall be submitted to Ms. Armstrong for approval. Ms. Armstrong shall notify Ms. Williams, orally and in writing, as to whether the policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Stipulation #6: Within two (2) weeks after approval of the supplementary policies and procedures to the EMC plan, written plan to ensure children are cared for in a nurturing and safe environment, and written plan to ensure adequate supervision, Ms. Williams shall conduct a mandatory staff meeting to review the approved plans, policies, and procedures. Documentation of the staff meeting shall be an attendance roster with the printed and signed names of each participant and include the date, time, agenda, and minutes of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #6 was completed. Based on the interview and video footage, the allegation regarding supervision is substantiated. 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. In #127, one (1) child was not signed out on 7/29/24, two (2) children were not signed out on 7/30/24, and three (3) children were not signed in today. In #129, two (2) children were not signed out on 7/30/24 and one (1) child was not signed in on 7/30/24. In #130, three (3) children were not signed in today. In #121, two (2) children were not signed in today. In the infant room, two (2) children were not signed out on 7/29/24 and two (2) children were not signed out on 7/30/24. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. On 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. .1801(a)(1-5) Technical assistance was provided as follows: Item #125: Record of arrival and departure Daily record of arrival and departure including the time of arrival and departure for each child shall be maintained accurately. The accurate record of arrival and departure is the first step to prevent supervision mistakes. Each classroom teacher should supervise and supplement each child’s arrival and departure time. 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 #303: Supervision I advise reviewing your facility’s supervision procedures. For the most effective supervision, the teachers may need training during the actual transition process. The positioning of the teachers, when and how to take face counts, what teachers should be doing during the transitions, tools for easier transitions should be reviewed, discussed, revised and implemented. Additional tools, such as door stoppers are useful so that the teachers do not have to rely on the children to hold the door. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Corrective Action Plan: Even though a follow-up visit will be conducted due to violation item303, a separate compliance letter is required for violation item 125. Please follow the below procedures and submit your compliance letter for item 125. 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 8/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed different ways to prevent supervision mistakes including more frequent monitoring by the supervisory staff members, review and training of transition process by the classroom staff members and implementing consequences for incompliance. We also discussed possible Administrative Action for the violation cited during today's visit. I will make a follow-up visit, and a visit every four-to-six weeks afterwards. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 .0604 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 7/31/2024 Number Present: 137 Completed Date: 7/31/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lauren Wood, Associate Director of Child Care Compliance, during the visit. A signed copy of the visit summary was emailed to you. Amber Williams, Early Education Director and Ms. Wood accompanied me. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 7/23/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. Children were observed in each classroom. Some children played on the playground and the other group of children transitioned to and from the pool. Transition process and the supervision procedures were mainly monitored during today’s visit. Per Ms. Wood, the incident occurred on 7/18/24 at approximately 9:45am. A three-year-old child was left in the bathroom for approximately 15 minutes upon a transition from the classroom to the pool. At the time of the incident, “Weekly Attendance & Face Count Sheet” was already implemented due to the previous supervision violation. The face count sheet was not filled out by the teacher at the time of the incident. Video footage was monitored. On 7/18/24 at 9:44 am, a group of ten (10) children, three-to-four years of age, started transitioning process to the pool. There were three (3) teachers present. One (1) child went to the bathroom. While the child was in the bathroom, all the other children sat on the chair. Two (2) teachers were assumed to be at the door calling each child’s name. As each child was called, he/she headed to the door. The area around the door was not seen on the video due to the area being a blind spot. When all the children lined up, three (3) teachers and nine (9) children left the classroom at 9:49:22 am. The child left behind is seen coming out of the bathroom area at 9:52:50 am. The child walked around the classroom until 10:06:50 am when Ms. Williams found the child. A group of two-to-three-year-old children from #121 transitioned from the pool to the classroom. One (1) teacher led the group, and the other teacher pulled a wagon at the end of the line. The front teacher looked back and checked the children multiple times during the transition. Upon entering the classroom, the front teacher entered the classroom, followed by the children and the other teacher with the wagon. Head Counts or name-to-face count was not taken upon entering the classroom. The face count sheet has not been filled out since 10:45 am on 7/29/24 for this classroom. The transition procedures from the classroom to the pool was observed in space #127. Ten (10) children, four (4) years of age, were present in the classroom. Upon arrival in the classroom, the children were already wearing bathing suit. One (1) teacher was in and out of the classroom, getting ready for the pool visit. The other teacher supervised the children. Three (3) children were observed to jump on the extra cots stacked together behind the shelf by the bathroom. Four (4) children got on one (1) of the children’s cots and jumped off. Two (2) children played with train tracks. The teacher supervised the group of children helped with clean up, read a book to the children while they were waiting for the transition. The other teacher continued to prepare for the field trip by collecting children’s water bottles from their cubbies and loaded them in the wagon and bringing children’s shoes from the hallway. The ratio was maintained. The Face Count sheet was monitored. At the time of the visit in space # 127, no log was made for today. Ms. Williams directed one (1) of the teachers to correct the sheet. The teacher wrote down 7/29, 10:30 (am), 10 (children) Playground, 7/29, 3:30 (pm), 10 (children), PG, 7/31, 9:30 (am), 9 (children), PG and 7/31, 10:45 (am), 10 (children), pool. At the time of correction, the group of the children was still preparing for the transition to the pool. When preparation was completed, the children lined up in front of the door. One (1) teacher took the face-to-head counts by calling each child's name. After the head counts, both teachers went to the hallway leaving all the children inside. Then the children came out of the classroom holding a rope. The group went through two (2) separate doors and went outside to walk to the pool. The head count of the children or name-to-face counts were not taken when the children were in the hallway or when they stepped outside. The children from space #128 and #130 were combined on the playground. There were four (4) teachers present on the playground. One (1) teacher took a child inside to the bathroom during the observation. The children from space #103 and #104 were combined on the playground. During observation, one (1) child fell on the concrete and injured his/her left temple. A teacher from #104 took the child in the classroom, attended the child and filled out an incident form. While the teacher was attending the child, the other classroom teacher from #104 came in the classroom and left for his/her thirty-minute break, leaving a total of sixteen (16) children from two (2) classrooms to two (2) teachers in space #103. The staff/child ratio was maintained but the transition was not logged on the face-to-head count sheet. The Face count sheet for space #130 was filled out in details. Per log, the transition was logged as follows: 9:40 (am), 8 (children), OLE, 9:45 (am), 1 (child), OLE-OT, and 10:45 (am), 1 (child) OT-OLE. This showed that the one (1) child receiving OT therapy, when he/she left the playground and when he/she came back to the playground. The Face count sheet for space #128 had not been logged since 7/29/24. The face count sheet for space #103 was not utilized for today’s transition. The face count sheet for space #104 was not utilized for today’s transition. In space #129, the face count sheet was logged up to date. The teachers logged 10:55 (am), 8 (children) to pool, 11:01 *am), 8 (children, to classroom, and 11:15 (am), 8 (children), arrived classroom. In space #111 a group of school-age children had lunch. One (1) group leader supervised the children. In separate building, an infant classroom and a toddler classroom were monitored. The face to count sheet was filled up to date for the infant room. The face to count sheet was not filled out for the toddler’s room. Meal time was observed in space #128, 129 and 130. At least one (1) teacher sitting with the children or standing by the table and supervised the children. Along with the Face to count sheet, attendance record was monitored in each classroom. For this facility, parents signed in the arrival and departure time on the clipboard outside of the classroom. Teachers in the classroom check off the child on the “Weekly Attendance & Face Count Sheet”. In space #121, six (6) children were signed in by the parents, but eight (8) children were present. In space #127, ten (10) children were present but only seven (7) children were present. The attendance was not taken for today for this classroom until teachers were directed to do so by Ms. Williams. In #129, seven (7) children were signed in, but eight (8) children were present. In #130, eight (8) children were present, but five (5) children were signed in. The sign-in sheet was accurate for #103, 104 and 128. For the attendance record for 7/29/24 and 7/30/24, many children were not signed out by the parents. Per interview with Ms. Williams and Ms. Wood, the supervisory staff members monitor, supervision procedures, the use of the Face to count sheet and attendance approximately once every two (2) weeks. The supervision process was not adequate enough to prevent another supervision mistakes for the following reasons: • Many teachers has not utilized the “Weekly Attendance & Face Count Sheet” upon arrival of children and upon transition. • Due to inadequate sign-in process by the parents and teachers, each teacher may not know the correct counts of the children in the classroom. • There were frequent transitions of children on the playground for bathroom use, injuries and therapy. Not all transitions of each child were logged, therefore, no all teachers may not have known the accurate counts of the children on the playground. Multiple classrooms were combined on the playground and some teachers supervised the children from different classrooms. Without communication among teachers on the playground, it could lead to potential supervision mistakes. • The transition process was inadequate for teacher’s positions and use of name-to-head counts. Even if the name-to-face count was completed, if both teachers were in the hallway and leaving children in the classroom, some children may have strayed from the line. Therefore, the name-to-face count needed to be taken during the children are transitioning from the classroom to the hallway or before, during and after the transition. One (1) teacher should have been in front of the line and the other teacher should have been positioned at the end of the line. Both teachers should have been taking name-to-face counts without relying on the other teacher. • Teachers sharing the playground did not communicate with one another. Upon leaving the group for a break, diaper change, bathroom use, etc. each teacher should have communicated with the rest of the teachers on the playground to prevent possible mistakes. • Monitoring of supervision procedure by the supervisory staff is not frequent enough to prevent mistakes. The facility received Administrative Action issued on 4/5/24. The following stipulations on the corrective action plan were also monitored. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care Due to item 303 supervision violation was cited during the visit, stipulation #1 was not met during the visit. Stipulation #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Kaitlyn Marshall, Child Care Consultant, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, to arrange for a complete review of all applicable child care requirements. Special emphasis shall be placed on violations included with this Notice. The review must be scheduled on a weekday between the hours of 9:00 am and 4:00 pm. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #3: Within one (1) week after the rules review is completed, Ms. Williams shall develop a written plan to ensure children are cared for in a safe and healthy environment and treated in a nurturing and caring manner. The written plan shall include, but not be limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rule 10A NCAC 09 .0604(i) regarding required non-smoking signage • A plan to ensure no smoking signage is posted as required • A plan to ensure staff, parents, and visitors do not smoke while on the facility premises • Procedures for staff to interact with children in a nurturing and caring manner • Acceptable and unacceptable techniques used to handle children to prevent injuries • Procedures for staff during breaks and meal times, including a requirement that staff cannot consume hot foods or beverages in areas children are cared for • Procedures for routine observations and evaluations of each staff member to ensure compliance with child care requirements and facilities policies and procedures related to care, treatment, and safety of children • Procedures for staff to notify administrators of concerns in a timely manner, including when administrators are off premises • Procedures for the facility’s administrators to respond to all reports of inappropriate care, treatment, or safety of children, including a requirement to notify the child’s parent when an incident occurs • Consequences for staff members who fail to comply with the facility’s policies and/or child care requirements • A plan for regular review of the plan with all staff members, including a review of the plan in orientation of new staff members before they assume child care responsibilities Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The supervision written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for approval. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Ms. Wood, stipulation #4 was submitted and approved by Kaitlyn Marshall, Child Care Consultant. However, the staff members are not following these procedures during today’s observation. Therefore, stipulation #4 was not met during today’s visit. Stipulation #5: Within three (3) weeks after the rules review is completed, Ms. Williams shall develop supplementary written policies and procedures to the facility’s existing Emergency Medical Care (EMC) plan that provides clear instructions to staff members regarding implementation of the EMC plan. The written policies and procedures regarding the EMC plan shall include, but not be limited to, the following: • A requirement and procedures for staff members to document any observations regarding potential or suspected injuries of children • A requirement that the person calling 911 have knowledge of the situation • Procedures for documenting incidents on an incident report form and procedures for maintaining a copy of the form in the child’s file • Procedures for documenting incidents on the incident log form provided by the Division, including naming the individual responsible • A requirement for a copy of the CPR poster and First Aid poster to be posted in each building where children are provided care Per Julia Armstrong, Investigation Consultant, stipulation #5 was completed. A requirement and procedures for notifying parents, guardians, or documented emergency contacts of any incidents during which children may be injured or become ill; including the timeframe for notification and documentation of what information was provided, and to whom, during the notification process The policies and procedures shall be submitted to Ms. Armstrong for approval. Ms. Armstrong shall notify Ms. Williams, orally and in writing, as to whether the policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Stipulation #6: Within two (2) weeks after approval of the supplementary policies and procedures to the EMC plan, written plan to ensure children are cared for in a nurturing and safe environment, and written plan to ensure adequate supervision, Ms. Williams shall conduct a mandatory staff meeting to review the approved plans, policies, and procedures. Documentation of the staff meeting shall be an attendance roster with the printed and signed names of each participant and include the date, time, agenda, and minutes of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #6 was completed. Based on the interview and video footage, the allegation regarding supervision is substantiated. 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. In #127, one (1) child was not signed out on 7/29/24, two (2) children were not signed out on 7/30/24, and three (3) children were not signed in today. In #129, two (2) children were not signed out on 7/30/24 and one (1) child was not signed in on 7/30/24. In #130, three (3) children were not signed in today. In #121, two (2) children were not signed in today. In the infant room, two (2) children were not signed out on 7/29/24 and two (2) children were not signed out on 7/30/24. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. On 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. .1801(a)(1-5) Technical assistance was provided as follows: Item #125: Record of arrival and departure Daily record of arrival and departure including the time of arrival and departure for each child shall be maintained accurately. The accurate record of arrival and departure is the first step to prevent supervision mistakes. Each classroom teacher should supervise and supplement each child’s arrival and departure time. 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 #303: Supervision I advise reviewing your facility’s supervision procedures. For the most effective supervision, the teachers may need training during the actual transition process. The positioning of the teachers, when and how to take face counts, what teachers should be doing during the transitions, tools for easier transitions should be reviewed, discussed, revised and implemented. Additional tools, such as door stoppers are useful so that the teachers do not have to rely on the children to hold the door. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Corrective Action Plan: Even though a follow-up visit will be conducted due to violation item303, a separate compliance letter is required for violation item 125. Please follow the below procedures and submit your compliance letter for item 125. 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 8/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed different ways to prevent supervision mistakes including more frequent monitoring by the supervisory staff members, review and training of transition process by the classroom staff members and implementing consequences for incompliance. We also discussed possible Administrative Action for the violation cited during today's visit. I will make a follow-up visit, and a visit every four-to-six weeks afterwards. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 7/31/2024 Number Present: 137 Completed Date: 7/31/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lauren Wood, Associate Director of Child Care Compliance, during the visit. A signed copy of the visit summary was emailed to you. Amber Williams, Early Education Director and Ms. Wood accompanied me. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 7/23/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. Children were observed in each classroom. Some children played on the playground and the other group of children transitioned to and from the pool. Transition process and the supervision procedures were mainly monitored during today’s visit. Per Ms. Wood, the incident occurred on 7/18/24 at approximately 9:45am. A three-year-old child was left in the bathroom for approximately 15 minutes upon a transition from the classroom to the pool. At the time of the incident, “Weekly Attendance & Face Count Sheet” was already implemented due to the previous supervision violation. The face count sheet was not filled out by the teacher at the time of the incident. Video footage was monitored. On 7/18/24 at 9:44 am, a group of ten (10) children, three-to-four years of age, started transitioning process to the pool. There were three (3) teachers present. One (1) child went to the bathroom. While the child was in the bathroom, all the other children sat on the chair. Two (2) teachers were assumed to be at the door calling each child’s name. As each child was called, he/she headed to the door. The area around the door was not seen on the video due to the area being a blind spot. When all the children lined up, three (3) teachers and nine (9) children left the classroom at 9:49:22 am. The child left behind is seen coming out of the bathroom area at 9:52:50 am. The child walked around the classroom until 10:06:50 am when Ms. Williams found the child. A group of two-to-three-year-old children from #121 transitioned from the pool to the classroom. One (1) teacher led the group, and the other teacher pulled a wagon at the end of the line. The front teacher looked back and checked the children multiple times during the transition. Upon entering the classroom, the front teacher entered the classroom, followed by the children and the other teacher with the wagon. Head Counts or name-to-face count was not taken upon entering the classroom. The face count sheet has not been filled out since 10:45 am on 7/29/24 for this classroom. The transition procedures from the classroom to the pool was observed in space #127. Ten (10) children, four (4) years of age, were present in the classroom. Upon arrival in the classroom, the children were already wearing bathing suit. One (1) teacher was in and out of the classroom, getting ready for the pool visit. The other teacher supervised the children. Three (3) children were observed to jump on the extra cots stacked together behind the shelf by the bathroom. Four (4) children got on one (1) of the children’s cots and jumped off. Two (2) children played with train tracks. The teacher supervised the group of children helped with clean up, read a book to the children while they were waiting for the transition. The other teacher continued to prepare for the field trip by collecting children’s water bottles from their cubbies and loaded them in the wagon and bringing children’s shoes from the hallway. The ratio was maintained. The Face Count sheet was monitored. At the time of the visit in space # 127, no log was made for today. Ms. Williams directed one (1) of the teachers to correct the sheet. The teacher wrote down 7/29, 10:30 (am), 10 (children) Playground, 7/29, 3:30 (pm), 10 (children), PG, 7/31, 9:30 (am), 9 (children), PG and 7/31, 10:45 (am), 10 (children), pool. At the time of correction, the group of the children was still preparing for the transition to the pool. When preparation was completed, the children lined up in front of the door. One (1) teacher took the face-to-head counts by calling each child's name. After the head counts, both teachers went to the hallway leaving all the children inside. Then the children came out of the classroom holding a rope. The group went through two (2) separate doors and went outside to walk to the pool. The head count of the children or name-to-face counts were not taken when the children were in the hallway or when they stepped outside. The children from space #128 and #130 were combined on the playground. There were four (4) teachers present on the playground. One (1) teacher took a child inside to the bathroom during the observation. The children from space #103 and #104 were combined on the playground. During observation, one (1) child fell on the concrete and injured his/her left temple. A teacher from #104 took the child in the classroom, attended the child and filled out an incident form. While the teacher was attending the child, the other classroom teacher from #104 came in the classroom and left for his/her thirty-minute break, leaving a total of sixteen (16) children from two (2) classrooms to two (2) teachers in space #103. The staff/child ratio was maintained but the transition was not logged on the face-to-head count sheet. The Face count sheet for space #130 was filled out in details. Per log, the transition was logged as follows: 9:40 (am), 8 (children), OLE, 9:45 (am), 1 (child), OLE-OT, and 10:45 (am), 1 (child) OT-OLE. This showed that the one (1) child receiving OT therapy, when he/she left the playground and when he/she came back to the playground. The Face count sheet for space #128 had not been logged since 7/29/24. The face count sheet for space #103 was not utilized for today’s transition. The face count sheet for space #104 was not utilized for today’s transition. In space #129, the face count sheet was logged up to date. The teachers logged 10:55 (am), 8 (children) to pool, 11:01 *am), 8 (children, to classroom, and 11:15 (am), 8 (children), arrived classroom. In space #111 a group of school-age children had lunch. One (1) group leader supervised the children. In separate building, an infant classroom and a toddler classroom were monitored. The face to count sheet was filled up to date for the infant room. The face to count sheet was not filled out for the toddler’s room. Meal time was observed in space #128, 129 and 130. At least one (1) teacher sitting with the children or standing by the table and supervised the children. Along with the Face to count sheet, attendance record was monitored in each classroom. For this facility, parents signed in the arrival and departure time on the clipboard outside of the classroom. Teachers in the classroom check off the child on the “Weekly Attendance & Face Count Sheet”. In space #121, six (6) children were signed in by the parents, but eight (8) children were present. In space #127, ten (10) children were present but only seven (7) children were present. The attendance was not taken for today for this classroom until teachers were directed to do so by Ms. Williams. In #129, seven (7) children were signed in, but eight (8) children were present. In #130, eight (8) children were present, but five (5) children were signed in. The sign-in sheet was accurate for #103, 104 and 128. For the attendance record for 7/29/24 and 7/30/24, many children were not signed out by the parents. Per interview with Ms. Williams and Ms. Wood, the supervisory staff members monitor, supervision procedures, the use of the Face to count sheet and attendance approximately once every two (2) weeks. The supervision process was not adequate enough to prevent another supervision mistakes for the following reasons: • Many teachers has not utilized the “Weekly Attendance & Face Count Sheet” upon arrival of children and upon transition. • Due to inadequate sign-in process by the parents and teachers, each teacher may not know the correct counts of the children in the classroom. • There were frequent transitions of children on the playground for bathroom use, injuries and therapy. Not all transitions of each child were logged, therefore, no all teachers may not have known the accurate counts of the children on the playground. Multiple classrooms were combined on the playground and some teachers supervised the children from different classrooms. Without communication among teachers on the playground, it could lead to potential supervision mistakes. • The transition process was inadequate for teacher’s positions and use of name-to-head counts. Even if the name-to-face count was completed, if both teachers were in the hallway and leaving children in the classroom, some children may have strayed from the line. Therefore, the name-to-face count needed to be taken during the children are transitioning from the classroom to the hallway or before, during and after the transition. One (1) teacher should have been in front of the line and the other teacher should have been positioned at the end of the line. Both teachers should have been taking name-to-face counts without relying on the other teacher. • Teachers sharing the playground did not communicate with one another. Upon leaving the group for a break, diaper change, bathroom use, etc. each teacher should have communicated with the rest of the teachers on the playground to prevent possible mistakes. • Monitoring of supervision procedure by the supervisory staff is not frequent enough to prevent mistakes. The facility received Administrative Action issued on 4/5/24. The following stipulations on the corrective action plan were also monitored. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care Due to item 303 supervision violation was cited during the visit, stipulation #1 was not met during the visit. Stipulation #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Kaitlyn Marshall, Child Care Consultant, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, to arrange for a complete review of all applicable child care requirements. Special emphasis shall be placed on violations included with this Notice. The review must be scheduled on a weekday between the hours of 9:00 am and 4:00 pm. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #3: Within one (1) week after the rules review is completed, Ms. Williams shall develop a written plan to ensure children are cared for in a safe and healthy environment and treated in a nurturing and caring manner. The written plan shall include, but not be limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rule 10A NCAC 09 .0604(i) regarding required non-smoking signage • A plan to ensure no smoking signage is posted as required • A plan to ensure staff, parents, and visitors do not smoke while on the facility premises • Procedures for staff to interact with children in a nurturing and caring manner • Acceptable and unacceptable techniques used to handle children to prevent injuries • Procedures for staff during breaks and meal times, including a requirement that staff cannot consume hot foods or beverages in areas children are cared for • Procedures for routine observations and evaluations of each staff member to ensure compliance with child care requirements and facilities policies and procedures related to care, treatment, and safety of children • Procedures for staff to notify administrators of concerns in a timely manner, including when administrators are off premises • Procedures for the facility’s administrators to respond to all reports of inappropriate care, treatment, or safety of children, including a requirement to notify the child’s parent when an incident occurs • Consequences for staff members who fail to comply with the facility’s policies and/or child care requirements • A plan for regular review of the plan with all staff members, including a review of the plan in orientation of new staff members before they assume child care responsibilities Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The supervision written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for approval. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Ms. Wood, stipulation #4 was submitted and approved by Kaitlyn Marshall, Child Care Consultant. However, the staff members are not following these procedures during today’s observation. Therefore, stipulation #4 was not met during today’s visit. Stipulation #5: Within three (3) weeks after the rules review is completed, Ms. Williams shall develop supplementary written policies and procedures to the facility’s existing Emergency Medical Care (EMC) plan that provides clear instructions to staff members regarding implementation of the EMC plan. The written policies and procedures regarding the EMC plan shall include, but not be limited to, the following: • A requirement and procedures for staff members to document any observations regarding potential or suspected injuries of children • A requirement that the person calling 911 have knowledge of the situation • Procedures for documenting incidents on an incident report form and procedures for maintaining a copy of the form in the child’s file • Procedures for documenting incidents on the incident log form provided by the Division, including naming the individual responsible • A requirement for a copy of the CPR poster and First Aid poster to be posted in each building where children are provided care Per Julia Armstrong, Investigation Consultant, stipulation #5 was completed. A requirement and procedures for notifying parents, guardians, or documented emergency contacts of any incidents during which children may be injured or become ill; including the timeframe for notification and documentation of what information was provided, and to whom, during the notification process The policies and procedures shall be submitted to Ms. Armstrong for approval. Ms. Armstrong shall notify Ms. Williams, orally and in writing, as to whether the policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Stipulation #6: Within two (2) weeks after approval of the supplementary policies and procedures to the EMC plan, written plan to ensure children are cared for in a nurturing and safe environment, and written plan to ensure adequate supervision, Ms. Williams shall conduct a mandatory staff meeting to review the approved plans, policies, and procedures. Documentation of the staff meeting shall be an attendance roster with the printed and signed names of each participant and include the date, time, agenda, and minutes of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #6 was completed. Based on the interview and video footage, the allegation regarding supervision is substantiated. 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. In #127, one (1) child was not signed out on 7/29/24, two (2) children were not signed out on 7/30/24, and three (3) children were not signed in today. In #129, two (2) children were not signed out on 7/30/24 and one (1) child was not signed in on 7/30/24. In #130, three (3) children were not signed in today. In #121, two (2) children were not signed in today. In the infant room, two (2) children were not signed out on 7/29/24 and two (2) children were not signed out on 7/30/24. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. On 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. .1801(a)(1-5) Technical assistance was provided as follows: Item #125: Record of arrival and departure Daily record of arrival and departure including the time of arrival and departure for each child shall be maintained accurately. The accurate record of arrival and departure is the first step to prevent supervision mistakes. Each classroom teacher should supervise and supplement each child’s arrival and departure time. 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 #303: Supervision I advise reviewing your facility’s supervision procedures. For the most effective supervision, the teachers may need training during the actual transition process. The positioning of the teachers, when and how to take face counts, what teachers should be doing during the transitions, tools for easier transitions should be reviewed, discussed, revised and implemented. Additional tools, such as door stoppers are useful so that the teachers do not have to rely on the children to hold the door. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Corrective Action Plan: Even though a follow-up visit will be conducted due to violation item303, a separate compliance letter is required for violation item 125. Please follow the below procedures and submit your compliance letter for item 125. 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 8/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed different ways to prevent supervision mistakes including more frequent monitoring by the supervisory staff members, review and training of transition process by the classroom staff members and implementing consequences for incompliance. We also discussed possible Administrative Action for the violation cited during today's visit. I will make a follow-up visit, and a visit every four-to-six weeks afterwards. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 .1801 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 7/31/2024 Number Present: 137 Completed Date: 7/31/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lauren Wood, Associate Director of Child Care Compliance, during the visit. A signed copy of the visit summary was emailed to you. Amber Williams, Early Education Director and Ms. Wood accompanied me. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 7/23/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. Children were observed in each classroom. Some children played on the playground and the other group of children transitioned to and from the pool. Transition process and the supervision procedures were mainly monitored during today’s visit. Per Ms. Wood, the incident occurred on 7/18/24 at approximately 9:45am. A three-year-old child was left in the bathroom for approximately 15 minutes upon a transition from the classroom to the pool. At the time of the incident, “Weekly Attendance & Face Count Sheet” was already implemented due to the previous supervision violation. The face count sheet was not filled out by the teacher at the time of the incident. Video footage was monitored. On 7/18/24 at 9:44 am, a group of ten (10) children, three-to-four years of age, started transitioning process to the pool. There were three (3) teachers present. One (1) child went to the bathroom. While the child was in the bathroom, all the other children sat on the chair. Two (2) teachers were assumed to be at the door calling each child’s name. As each child was called, he/she headed to the door. The area around the door was not seen on the video due to the area being a blind spot. When all the children lined up, three (3) teachers and nine (9) children left the classroom at 9:49:22 am. The child left behind is seen coming out of the bathroom area at 9:52:50 am. The child walked around the classroom until 10:06:50 am when Ms. Williams found the child. A group of two-to-three-year-old children from #121 transitioned from the pool to the classroom. One (1) teacher led the group, and the other teacher pulled a wagon at the end of the line. The front teacher looked back and checked the children multiple times during the transition. Upon entering the classroom, the front teacher entered the classroom, followed by the children and the other teacher with the wagon. Head Counts or name-to-face count was not taken upon entering the classroom. The face count sheet has not been filled out since 10:45 am on 7/29/24 for this classroom. The transition procedures from the classroom to the pool was observed in space #127. Ten (10) children, four (4) years of age, were present in the classroom. Upon arrival in the classroom, the children were already wearing bathing suit. One (1) teacher was in and out of the classroom, getting ready for the pool visit. The other teacher supervised the children. Three (3) children were observed to jump on the extra cots stacked together behind the shelf by the bathroom. Four (4) children got on one (1) of the children’s cots and jumped off. Two (2) children played with train tracks. The teacher supervised the group of children helped with clean up, read a book to the children while they were waiting for the transition. The other teacher continued to prepare for the field trip by collecting children’s water bottles from their cubbies and loaded them in the wagon and bringing children’s shoes from the hallway. The ratio was maintained. The Face Count sheet was monitored. At the time of the visit in space # 127, no log was made for today. Ms. Williams directed one (1) of the teachers to correct the sheet. The teacher wrote down 7/29, 10:30 (am), 10 (children) Playground, 7/29, 3:30 (pm), 10 (children), PG, 7/31, 9:30 (am), 9 (children), PG and 7/31, 10:45 (am), 10 (children), pool. At the time of correction, the group of the children was still preparing for the transition to the pool. When preparation was completed, the children lined up in front of the door. One (1) teacher took the face-to-head counts by calling each child's name. After the head counts, both teachers went to the hallway leaving all the children inside. Then the children came out of the classroom holding a rope. The group went through two (2) separate doors and went outside to walk to the pool. The head count of the children or name-to-face counts were not taken when the children were in the hallway or when they stepped outside. The children from space #128 and #130 were combined on the playground. There were four (4) teachers present on the playground. One (1) teacher took a child inside to the bathroom during the observation. The children from space #103 and #104 were combined on the playground. During observation, one (1) child fell on the concrete and injured his/her left temple. A teacher from #104 took the child in the classroom, attended the child and filled out an incident form. While the teacher was attending the child, the other classroom teacher from #104 came in the classroom and left for his/her thirty-minute break, leaving a total of sixteen (16) children from two (2) classrooms to two (2) teachers in space #103. The staff/child ratio was maintained but the transition was not logged on the face-to-head count sheet. The Face count sheet for space #130 was filled out in details. Per log, the transition was logged as follows: 9:40 (am), 8 (children), OLE, 9:45 (am), 1 (child), OLE-OT, and 10:45 (am), 1 (child) OT-OLE. This showed that the one (1) child receiving OT therapy, when he/she left the playground and when he/she came back to the playground. The Face count sheet for space #128 had not been logged since 7/29/24. The face count sheet for space #103 was not utilized for today’s transition. The face count sheet for space #104 was not utilized for today’s transition. In space #129, the face count sheet was logged up to date. The teachers logged 10:55 (am), 8 (children) to pool, 11:01 *am), 8 (children, to classroom, and 11:15 (am), 8 (children), arrived classroom. In space #111 a group of school-age children had lunch. One (1) group leader supervised the children. In separate building, an infant classroom and a toddler classroom were monitored. The face to count sheet was filled up to date for the infant room. The face to count sheet was not filled out for the toddler’s room. Meal time was observed in space #128, 129 and 130. At least one (1) teacher sitting with the children or standing by the table and supervised the children. Along with the Face to count sheet, attendance record was monitored in each classroom. For this facility, parents signed in the arrival and departure time on the clipboard outside of the classroom. Teachers in the classroom check off the child on the “Weekly Attendance & Face Count Sheet”. In space #121, six (6) children were signed in by the parents, but eight (8) children were present. In space #127, ten (10) children were present but only seven (7) children were present. The attendance was not taken for today for this classroom until teachers were directed to do so by Ms. Williams. In #129, seven (7) children were signed in, but eight (8) children were present. In #130, eight (8) children were present, but five (5) children were signed in. The sign-in sheet was accurate for #103, 104 and 128. For the attendance record for 7/29/24 and 7/30/24, many children were not signed out by the parents. Per interview with Ms. Williams and Ms. Wood, the supervisory staff members monitor, supervision procedures, the use of the Face to count sheet and attendance approximately once every two (2) weeks. The supervision process was not adequate enough to prevent another supervision mistakes for the following reasons: • Many teachers has not utilized the “Weekly Attendance & Face Count Sheet” upon arrival of children and upon transition. • Due to inadequate sign-in process by the parents and teachers, each teacher may not know the correct counts of the children in the classroom. • There were frequent transitions of children on the playground for bathroom use, injuries and therapy. Not all transitions of each child were logged, therefore, no all teachers may not have known the accurate counts of the children on the playground. Multiple classrooms were combined on the playground and some teachers supervised the children from different classrooms. Without communication among teachers on the playground, it could lead to potential supervision mistakes. • The transition process was inadequate for teacher’s positions and use of name-to-head counts. Even if the name-to-face count was completed, if both teachers were in the hallway and leaving children in the classroom, some children may have strayed from the line. Therefore, the name-to-face count needed to be taken during the children are transitioning from the classroom to the hallway or before, during and after the transition. One (1) teacher should have been in front of the line and the other teacher should have been positioned at the end of the line. Both teachers should have been taking name-to-face counts without relying on the other teacher. • Teachers sharing the playground did not communicate with one another. Upon leaving the group for a break, diaper change, bathroom use, etc. each teacher should have communicated with the rest of the teachers on the playground to prevent possible mistakes. • Monitoring of supervision procedure by the supervisory staff is not frequent enough to prevent mistakes. The facility received Administrative Action issued on 4/5/24. The following stipulations on the corrective action plan were also monitored. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care Due to item 303 supervision violation was cited during the visit, stipulation #1 was not met during the visit. Stipulation #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Kaitlyn Marshall, Child Care Consultant, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, to arrange for a complete review of all applicable child care requirements. Special emphasis shall be placed on violations included with this Notice. The review must be scheduled on a weekday between the hours of 9:00 am and 4:00 pm. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #3: Within one (1) week after the rules review is completed, Ms. Williams shall develop a written plan to ensure children are cared for in a safe and healthy environment and treated in a nurturing and caring manner. The written plan shall include, but not be limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rule 10A NCAC 09 .0604(i) regarding required non-smoking signage • A plan to ensure no smoking signage is posted as required • A plan to ensure staff, parents, and visitors do not smoke while on the facility premises • Procedures for staff to interact with children in a nurturing and caring manner • Acceptable and unacceptable techniques used to handle children to prevent injuries • Procedures for staff during breaks and meal times, including a requirement that staff cannot consume hot foods or beverages in areas children are cared for • Procedures for routine observations and evaluations of each staff member to ensure compliance with child care requirements and facilities policies and procedures related to care, treatment, and safety of children • Procedures for staff to notify administrators of concerns in a timely manner, including when administrators are off premises • Procedures for the facility’s administrators to respond to all reports of inappropriate care, treatment, or safety of children, including a requirement to notify the child’s parent when an incident occurs • Consequences for staff members who fail to comply with the facility’s policies and/or child care requirements • A plan for regular review of the plan with all staff members, including a review of the plan in orientation of new staff members before they assume child care responsibilities Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The supervision written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for approval. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Ms. Wood, stipulation #4 was submitted and approved by Kaitlyn Marshall, Child Care Consultant. However, the staff members are not following these procedures during today’s observation. Therefore, stipulation #4 was not met during today’s visit. Stipulation #5: Within three (3) weeks after the rules review is completed, Ms. Williams shall develop supplementary written policies and procedures to the facility’s existing Emergency Medical Care (EMC) plan that provides clear instructions to staff members regarding implementation of the EMC plan. The written policies and procedures regarding the EMC plan shall include, but not be limited to, the following: • A requirement and procedures for staff members to document any observations regarding potential or suspected injuries of children • A requirement that the person calling 911 have knowledge of the situation • Procedures for documenting incidents on an incident report form and procedures for maintaining a copy of the form in the child’s file • Procedures for documenting incidents on the incident log form provided by the Division, including naming the individual responsible • A requirement for a copy of the CPR poster and First Aid poster to be posted in each building where children are provided care Per Julia Armstrong, Investigation Consultant, stipulation #5 was completed. A requirement and procedures for notifying parents, guardians, or documented emergency contacts of any incidents during which children may be injured or become ill; including the timeframe for notification and documentation of what information was provided, and to whom, during the notification process The policies and procedures shall be submitted to Ms. Armstrong for approval. Ms. Armstrong shall notify Ms. Williams, orally and in writing, as to whether the policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Stipulation #6: Within two (2) weeks after approval of the supplementary policies and procedures to the EMC plan, written plan to ensure children are cared for in a nurturing and safe environment, and written plan to ensure adequate supervision, Ms. Williams shall conduct a mandatory staff meeting to review the approved plans, policies, and procedures. Documentation of the staff meeting shall be an attendance roster with the printed and signed names of each participant and include the date, time, agenda, and minutes of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #6 was completed. Based on the interview and video footage, the allegation regarding supervision is substantiated. 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. In #127, one (1) child was not signed out on 7/29/24, two (2) children were not signed out on 7/30/24, and three (3) children were not signed in today. In #129, two (2) children were not signed out on 7/30/24 and one (1) child was not signed in on 7/30/24. In #130, three (3) children were not signed in today. In #121, two (2) children were not signed in today. In the infant room, two (2) children were not signed out on 7/29/24 and two (2) children were not signed out on 7/30/24. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. On 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. .1801(a)(1-5) Technical assistance was provided as follows: Item #125: Record of arrival and departure Daily record of arrival and departure including the time of arrival and departure for each child shall be maintained accurately. The accurate record of arrival and departure is the first step to prevent supervision mistakes. Each classroom teacher should supervise and supplement each child’s arrival and departure time. 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 #303: Supervision I advise reviewing your facility’s supervision procedures. For the most effective supervision, the teachers may need training during the actual transition process. The positioning of the teachers, when and how to take face counts, what teachers should be doing during the transitions, tools for easier transitions should be reviewed, discussed, revised and implemented. Additional tools, such as door stoppers are useful so that the teachers do not have to rely on the children to hold the door. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Corrective Action Plan: Even though a follow-up visit will be conducted due to violation item303, a separate compliance letter is required for violation item 125. Please follow the below procedures and submit your compliance letter for item 125. 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 8/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed different ways to prevent supervision mistakes including more frequent monitoring by the supervisory staff members, review and training of transition process by the classroom staff members and implementing consequences for incompliance. We also discussed possible Administrative Action for the violation cited during today's visit. I will make a follow-up visit, and a visit every four-to-six weeks afterwards. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 .2201 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 7/31/2024 Number Present: 137 Completed Date: 7/31/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lauren Wood, Associate Director of Child Care Compliance, during the visit. A signed copy of the visit summary was emailed to you. Amber Williams, Early Education Director and Ms. Wood accompanied me. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 7/23/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. Children were observed in each classroom. Some children played on the playground and the other group of children transitioned to and from the pool. Transition process and the supervision procedures were mainly monitored during today’s visit. Per Ms. Wood, the incident occurred on 7/18/24 at approximately 9:45am. A three-year-old child was left in the bathroom for approximately 15 minutes upon a transition from the classroom to the pool. At the time of the incident, “Weekly Attendance & Face Count Sheet” was already implemented due to the previous supervision violation. The face count sheet was not filled out by the teacher at the time of the incident. Video footage was monitored. On 7/18/24 at 9:44 am, a group of ten (10) children, three-to-four years of age, started transitioning process to the pool. There were three (3) teachers present. One (1) child went to the bathroom. While the child was in the bathroom, all the other children sat on the chair. Two (2) teachers were assumed to be at the door calling each child’s name. As each child was called, he/she headed to the door. The area around the door was not seen on the video due to the area being a blind spot. When all the children lined up, three (3) teachers and nine (9) children left the classroom at 9:49:22 am. The child left behind is seen coming out of the bathroom area at 9:52:50 am. The child walked around the classroom until 10:06:50 am when Ms. Williams found the child. A group of two-to-three-year-old children from #121 transitioned from the pool to the classroom. One (1) teacher led the group, and the other teacher pulled a wagon at the end of the line. The front teacher looked back and checked the children multiple times during the transition. Upon entering the classroom, the front teacher entered the classroom, followed by the children and the other teacher with the wagon. Head Counts or name-to-face count was not taken upon entering the classroom. The face count sheet has not been filled out since 10:45 am on 7/29/24 for this classroom. The transition procedures from the classroom to the pool was observed in space #127. Ten (10) children, four (4) years of age, were present in the classroom. Upon arrival in the classroom, the children were already wearing bathing suit. One (1) teacher was in and out of the classroom, getting ready for the pool visit. The other teacher supervised the children. Three (3) children were observed to jump on the extra cots stacked together behind the shelf by the bathroom. Four (4) children got on one (1) of the children’s cots and jumped off. Two (2) children played with train tracks. The teacher supervised the group of children helped with clean up, read a book to the children while they were waiting for the transition. The other teacher continued to prepare for the field trip by collecting children’s water bottles from their cubbies and loaded them in the wagon and bringing children’s shoes from the hallway. The ratio was maintained. The Face Count sheet was monitored. At the time of the visit in space # 127, no log was made for today. Ms. Williams directed one (1) of the teachers to correct the sheet. The teacher wrote down 7/29, 10:30 (am), 10 (children) Playground, 7/29, 3:30 (pm), 10 (children), PG, 7/31, 9:30 (am), 9 (children), PG and 7/31, 10:45 (am), 10 (children), pool. At the time of correction, the group of the children was still preparing for the transition to the pool. When preparation was completed, the children lined up in front of the door. One (1) teacher took the face-to-head counts by calling each child's name. After the head counts, both teachers went to the hallway leaving all the children inside. Then the children came out of the classroom holding a rope. The group went through two (2) separate doors and went outside to walk to the pool. The head count of the children or name-to-face counts were not taken when the children were in the hallway or when they stepped outside. The children from space #128 and #130 were combined on the playground. There were four (4) teachers present on the playground. One (1) teacher took a child inside to the bathroom during the observation. The children from space #103 and #104 were combined on the playground. During observation, one (1) child fell on the concrete and injured his/her left temple. A teacher from #104 took the child in the classroom, attended the child and filled out an incident form. While the teacher was attending the child, the other classroom teacher from #104 came in the classroom and left for his/her thirty-minute break, leaving a total of sixteen (16) children from two (2) classrooms to two (2) teachers in space #103. The staff/child ratio was maintained but the transition was not logged on the face-to-head count sheet. The Face count sheet for space #130 was filled out in details. Per log, the transition was logged as follows: 9:40 (am), 8 (children), OLE, 9:45 (am), 1 (child), OLE-OT, and 10:45 (am), 1 (child) OT-OLE. This showed that the one (1) child receiving OT therapy, when he/she left the playground and when he/she came back to the playground. The Face count sheet for space #128 had not been logged since 7/29/24. The face count sheet for space #103 was not utilized for today’s transition. The face count sheet for space #104 was not utilized for today’s transition. In space #129, the face count sheet was logged up to date. The teachers logged 10:55 (am), 8 (children) to pool, 11:01 *am), 8 (children, to classroom, and 11:15 (am), 8 (children), arrived classroom. In space #111 a group of school-age children had lunch. One (1) group leader supervised the children. In separate building, an infant classroom and a toddler classroom were monitored. The face to count sheet was filled up to date for the infant room. The face to count sheet was not filled out for the toddler’s room. Meal time was observed in space #128, 129 and 130. At least one (1) teacher sitting with the children or standing by the table and supervised the children. Along with the Face to count sheet, attendance record was monitored in each classroom. For this facility, parents signed in the arrival and departure time on the clipboard outside of the classroom. Teachers in the classroom check off the child on the “Weekly Attendance & Face Count Sheet”. In space #121, six (6) children were signed in by the parents, but eight (8) children were present. In space #127, ten (10) children were present but only seven (7) children were present. The attendance was not taken for today for this classroom until teachers were directed to do so by Ms. Williams. In #129, seven (7) children were signed in, but eight (8) children were present. In #130, eight (8) children were present, but five (5) children were signed in. The sign-in sheet was accurate for #103, 104 and 128. For the attendance record for 7/29/24 and 7/30/24, many children were not signed out by the parents. Per interview with Ms. Williams and Ms. Wood, the supervisory staff members monitor, supervision procedures, the use of the Face to count sheet and attendance approximately once every two (2) weeks. The supervision process was not adequate enough to prevent another supervision mistakes for the following reasons: • Many teachers has not utilized the “Weekly Attendance & Face Count Sheet” upon arrival of children and upon transition. • Due to inadequate sign-in process by the parents and teachers, each teacher may not know the correct counts of the children in the classroom. • There were frequent transitions of children on the playground for bathroom use, injuries and therapy. Not all transitions of each child were logged, therefore, no all teachers may not have known the accurate counts of the children on the playground. Multiple classrooms were combined on the playground and some teachers supervised the children from different classrooms. Without communication among teachers on the playground, it could lead to potential supervision mistakes. • The transition process was inadequate for teacher’s positions and use of name-to-head counts. Even if the name-to-face count was completed, if both teachers were in the hallway and leaving children in the classroom, some children may have strayed from the line. Therefore, the name-to-face count needed to be taken during the children are transitioning from the classroom to the hallway or before, during and after the transition. One (1) teacher should have been in front of the line and the other teacher should have been positioned at the end of the line. Both teachers should have been taking name-to-face counts without relying on the other teacher. • Teachers sharing the playground did not communicate with one another. Upon leaving the group for a break, diaper change, bathroom use, etc. each teacher should have communicated with the rest of the teachers on the playground to prevent possible mistakes. • Monitoring of supervision procedure by the supervisory staff is not frequent enough to prevent mistakes. The facility received Administrative Action issued on 4/5/24. The following stipulations on the corrective action plan were also monitored. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care Due to item 303 supervision violation was cited during the visit, stipulation #1 was not met during the visit. Stipulation #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Kaitlyn Marshall, Child Care Consultant, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, to arrange for a complete review of all applicable child care requirements. Special emphasis shall be placed on violations included with this Notice. The review must be scheduled on a weekday between the hours of 9:00 am and 4:00 pm. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #3: Within one (1) week after the rules review is completed, Ms. Williams shall develop a written plan to ensure children are cared for in a safe and healthy environment and treated in a nurturing and caring manner. The written plan shall include, but not be limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rule 10A NCAC 09 .0604(i) regarding required non-smoking signage • A plan to ensure no smoking signage is posted as required • A plan to ensure staff, parents, and visitors do not smoke while on the facility premises • Procedures for staff to interact with children in a nurturing and caring manner • Acceptable and unacceptable techniques used to handle children to prevent injuries • Procedures for staff during breaks and meal times, including a requirement that staff cannot consume hot foods or beverages in areas children are cared for • Procedures for routine observations and evaluations of each staff member to ensure compliance with child care requirements and facilities policies and procedures related to care, treatment, and safety of children • Procedures for staff to notify administrators of concerns in a timely manner, including when administrators are off premises • Procedures for the facility’s administrators to respond to all reports of inappropriate care, treatment, or safety of children, including a requirement to notify the child’s parent when an incident occurs • Consequences for staff members who fail to comply with the facility’s policies and/or child care requirements • A plan for regular review of the plan with all staff members, including a review of the plan in orientation of new staff members before they assume child care responsibilities Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The supervision written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for approval. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Ms. Wood, stipulation #4 was submitted and approved by Kaitlyn Marshall, Child Care Consultant. However, the staff members are not following these procedures during today’s observation. Therefore, stipulation #4 was not met during today’s visit. Stipulation #5: Within three (3) weeks after the rules review is completed, Ms. Williams shall develop supplementary written policies and procedures to the facility’s existing Emergency Medical Care (EMC) plan that provides clear instructions to staff members regarding implementation of the EMC plan. The written policies and procedures regarding the EMC plan shall include, but not be limited to, the following: • A requirement and procedures for staff members to document any observations regarding potential or suspected injuries of children • A requirement that the person calling 911 have knowledge of the situation • Procedures for documenting incidents on an incident report form and procedures for maintaining a copy of the form in the child’s file • Procedures for documenting incidents on the incident log form provided by the Division, including naming the individual responsible • A requirement for a copy of the CPR poster and First Aid poster to be posted in each building where children are provided care Per Julia Armstrong, Investigation Consultant, stipulation #5 was completed. A requirement and procedures for notifying parents, guardians, or documented emergency contacts of any incidents during which children may be injured or become ill; including the timeframe for notification and documentation of what information was provided, and to whom, during the notification process The policies and procedures shall be submitted to Ms. Armstrong for approval. Ms. Armstrong shall notify Ms. Williams, orally and in writing, as to whether the policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Stipulation #6: Within two (2) weeks after approval of the supplementary policies and procedures to the EMC plan, written plan to ensure children are cared for in a nurturing and safe environment, and written plan to ensure adequate supervision, Ms. Williams shall conduct a mandatory staff meeting to review the approved plans, policies, and procedures. Documentation of the staff meeting shall be an attendance roster with the printed and signed names of each participant and include the date, time, agenda, and minutes of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #6 was completed. Based on the interview and video footage, the allegation regarding supervision is substantiated. 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. In #127, one (1) child was not signed out on 7/29/24, two (2) children were not signed out on 7/30/24, and three (3) children were not signed in today. In #129, two (2) children were not signed out on 7/30/24 and one (1) child was not signed in on 7/30/24. In #130, three (3) children were not signed in today. In #121, two (2) children were not signed in today. In the infant room, two (2) children were not signed out on 7/29/24 and two (2) children were not signed out on 7/30/24. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. On 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. .1801(a)(1-5) Technical assistance was provided as follows: Item #125: Record of arrival and departure Daily record of arrival and departure including the time of arrival and departure for each child shall be maintained accurately. The accurate record of arrival and departure is the first step to prevent supervision mistakes. Each classroom teacher should supervise and supplement each child’s arrival and departure time. 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 #303: Supervision I advise reviewing your facility’s supervision procedures. For the most effective supervision, the teachers may need training during the actual transition process. The positioning of the teachers, when and how to take face counts, what teachers should be doing during the transitions, tools for easier transitions should be reviewed, discussed, revised and implemented. Additional tools, such as door stoppers are useful so that the teachers do not have to rely on the children to hold the door. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Corrective Action Plan: Even though a follow-up visit will be conducted due to violation item303, a separate compliance letter is required for violation item 125. Please follow the below procedures and submit your compliance letter for item 125. 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 8/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed different ways to prevent supervision mistakes including more frequent monitoring by the supervisory staff members, review and training of transition process by the classroom staff members and implementing consequences for incompliance. We also discussed possible Administrative Action for the violation cited during today's visit. I will make a follow-up visit, and a visit every four-to-six weeks afterwards. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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. 1801 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 7/31/2024 Number Present: 137 Completed Date: 7/31/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lauren Wood, Associate Director of Child Care Compliance, during the visit. A signed copy of the visit summary was emailed to you. Amber Williams, Early Education Director and Ms. Wood accompanied me. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 7/23/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. Children were observed in each classroom. Some children played on the playground and the other group of children transitioned to and from the pool. Transition process and the supervision procedures were mainly monitored during today’s visit. Per Ms. Wood, the incident occurred on 7/18/24 at approximately 9:45am. A three-year-old child was left in the bathroom for approximately 15 minutes upon a transition from the classroom to the pool. At the time of the incident, “Weekly Attendance & Face Count Sheet” was already implemented due to the previous supervision violation. The face count sheet was not filled out by the teacher at the time of the incident. Video footage was monitored. On 7/18/24 at 9:44 am, a group of ten (10) children, three-to-four years of age, started transitioning process to the pool. There were three (3) teachers present. One (1) child went to the bathroom. While the child was in the bathroom, all the other children sat on the chair. Two (2) teachers were assumed to be at the door calling each child’s name. As each child was called, he/she headed to the door. The area around the door was not seen on the video due to the area being a blind spot. When all the children lined up, three (3) teachers and nine (9) children left the classroom at 9:49:22 am. The child left behind is seen coming out of the bathroom area at 9:52:50 am. The child walked around the classroom until 10:06:50 am when Ms. Williams found the child. A group of two-to-three-year-old children from #121 transitioned from the pool to the classroom. One (1) teacher led the group, and the other teacher pulled a wagon at the end of the line. The front teacher looked back and checked the children multiple times during the transition. Upon entering the classroom, the front teacher entered the classroom, followed by the children and the other teacher with the wagon. Head Counts or name-to-face count was not taken upon entering the classroom. The face count sheet has not been filled out since 10:45 am on 7/29/24 for this classroom. The transition procedures from the classroom to the pool was observed in space #127. Ten (10) children, four (4) years of age, were present in the classroom. Upon arrival in the classroom, the children were already wearing bathing suit. One (1) teacher was in and out of the classroom, getting ready for the pool visit. The other teacher supervised the children. Three (3) children were observed to jump on the extra cots stacked together behind the shelf by the bathroom. Four (4) children got on one (1) of the children’s cots and jumped off. Two (2) children played with train tracks. The teacher supervised the group of children helped with clean up, read a book to the children while they were waiting for the transition. The other teacher continued to prepare for the field trip by collecting children’s water bottles from their cubbies and loaded them in the wagon and bringing children’s shoes from the hallway. The ratio was maintained. The Face Count sheet was monitored. At the time of the visit in space # 127, no log was made for today. Ms. Williams directed one (1) of the teachers to correct the sheet. The teacher wrote down 7/29, 10:30 (am), 10 (children) Playground, 7/29, 3:30 (pm), 10 (children), PG, 7/31, 9:30 (am), 9 (children), PG and 7/31, 10:45 (am), 10 (children), pool. At the time of correction, the group of the children was still preparing for the transition to the pool. When preparation was completed, the children lined up in front of the door. One (1) teacher took the face-to-head counts by calling each child's name. After the head counts, both teachers went to the hallway leaving all the children inside. Then the children came out of the classroom holding a rope. The group went through two (2) separate doors and went outside to walk to the pool. The head count of the children or name-to-face counts were not taken when the children were in the hallway or when they stepped outside. The children from space #128 and #130 were combined on the playground. There were four (4) teachers present on the playground. One (1) teacher took a child inside to the bathroom during the observation. The children from space #103 and #104 were combined on the playground. During observation, one (1) child fell on the concrete and injured his/her left temple. A teacher from #104 took the child in the classroom, attended the child and filled out an incident form. While the teacher was attending the child, the other classroom teacher from #104 came in the classroom and left for his/her thirty-minute break, leaving a total of sixteen (16) children from two (2) classrooms to two (2) teachers in space #103. The staff/child ratio was maintained but the transition was not logged on the face-to-head count sheet. The Face count sheet for space #130 was filled out in details. Per log, the transition was logged as follows: 9:40 (am), 8 (children), OLE, 9:45 (am), 1 (child), OLE-OT, and 10:45 (am), 1 (child) OT-OLE. This showed that the one (1) child receiving OT therapy, when he/she left the playground and when he/she came back to the playground. The Face count sheet for space #128 had not been logged since 7/29/24. The face count sheet for space #103 was not utilized for today’s transition. The face count sheet for space #104 was not utilized for today’s transition. In space #129, the face count sheet was logged up to date. The teachers logged 10:55 (am), 8 (children) to pool, 11:01 *am), 8 (children, to classroom, and 11:15 (am), 8 (children), arrived classroom. In space #111 a group of school-age children had lunch. One (1) group leader supervised the children. In separate building, an infant classroom and a toddler classroom were monitored. The face to count sheet was filled up to date for the infant room. The face to count sheet was not filled out for the toddler’s room. Meal time was observed in space #128, 129 and 130. At least one (1) teacher sitting with the children or standing by the table and supervised the children. Along with the Face to count sheet, attendance record was monitored in each classroom. For this facility, parents signed in the arrival and departure time on the clipboard outside of the classroom. Teachers in the classroom check off the child on the “Weekly Attendance & Face Count Sheet”. In space #121, six (6) children were signed in by the parents, but eight (8) children were present. In space #127, ten (10) children were present but only seven (7) children were present. The attendance was not taken for today for this classroom until teachers were directed to do so by Ms. Williams. In #129, seven (7) children were signed in, but eight (8) children were present. In #130, eight (8) children were present, but five (5) children were signed in. The sign-in sheet was accurate for #103, 104 and 128. For the attendance record for 7/29/24 and 7/30/24, many children were not signed out by the parents. Per interview with Ms. Williams and Ms. Wood, the supervisory staff members monitor, supervision procedures, the use of the Face to count sheet and attendance approximately once every two (2) weeks. The supervision process was not adequate enough to prevent another supervision mistakes for the following reasons: • Many teachers has not utilized the “Weekly Attendance & Face Count Sheet” upon arrival of children and upon transition. • Due to inadequate sign-in process by the parents and teachers, each teacher may not know the correct counts of the children in the classroom. • There were frequent transitions of children on the playground for bathroom use, injuries and therapy. Not all transitions of each child were logged, therefore, no all teachers may not have known the accurate counts of the children on the playground. Multiple classrooms were combined on the playground and some teachers supervised the children from different classrooms. Without communication among teachers on the playground, it could lead to potential supervision mistakes. • The transition process was inadequate for teacher’s positions and use of name-to-head counts. Even if the name-to-face count was completed, if both teachers were in the hallway and leaving children in the classroom, some children may have strayed from the line. Therefore, the name-to-face count needed to be taken during the children are transitioning from the classroom to the hallway or before, during and after the transition. One (1) teacher should have been in front of the line and the other teacher should have been positioned at the end of the line. Both teachers should have been taking name-to-face counts without relying on the other teacher. • Teachers sharing the playground did not communicate with one another. Upon leaving the group for a break, diaper change, bathroom use, etc. each teacher should have communicated with the rest of the teachers on the playground to prevent possible mistakes. • Monitoring of supervision procedure by the supervisory staff is not frequent enough to prevent mistakes. The facility received Administrative Action issued on 4/5/24. The following stipulations on the corrective action plan were also monitored. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care Due to item 303 supervision violation was cited during the visit, stipulation #1 was not met during the visit. Stipulation #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Kaitlyn Marshall, Child Care Consultant, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, to arrange for a complete review of all applicable child care requirements. Special emphasis shall be placed on violations included with this Notice. The review must be scheduled on a weekday between the hours of 9:00 am and 4:00 pm. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #3: Within one (1) week after the rules review is completed, Ms. Williams shall develop a written plan to ensure children are cared for in a safe and healthy environment and treated in a nurturing and caring manner. The written plan shall include, but not be limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rule 10A NCAC 09 .0604(i) regarding required non-smoking signage • A plan to ensure no smoking signage is posted as required • A plan to ensure staff, parents, and visitors do not smoke while on the facility premises • Procedures for staff to interact with children in a nurturing and caring manner • Acceptable and unacceptable techniques used to handle children to prevent injuries • Procedures for staff during breaks and meal times, including a requirement that staff cannot consume hot foods or beverages in areas children are cared for • Procedures for routine observations and evaluations of each staff member to ensure compliance with child care requirements and facilities policies and procedures related to care, treatment, and safety of children • Procedures for staff to notify administrators of concerns in a timely manner, including when administrators are off premises • Procedures for the facility’s administrators to respond to all reports of inappropriate care, treatment, or safety of children, including a requirement to notify the child’s parent when an incident occurs • Consequences for staff members who fail to comply with the facility’s policies and/or child care requirements • A plan for regular review of the plan with all staff members, including a review of the plan in orientation of new staff members before they assume child care responsibilities Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The supervision written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for approval. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Ms. Wood, stipulation #4 was submitted and approved by Kaitlyn Marshall, Child Care Consultant. However, the staff members are not following these procedures during today’s observation. Therefore, stipulation #4 was not met during today’s visit. Stipulation #5: Within three (3) weeks after the rules review is completed, Ms. Williams shall develop supplementary written policies and procedures to the facility’s existing Emergency Medical Care (EMC) plan that provides clear instructions to staff members regarding implementation of the EMC plan. The written policies and procedures regarding the EMC plan shall include, but not be limited to, the following: • A requirement and procedures for staff members to document any observations regarding potential or suspected injuries of children • A requirement that the person calling 911 have knowledge of the situation • Procedures for documenting incidents on an incident report form and procedures for maintaining a copy of the form in the child’s file • Procedures for documenting incidents on the incident log form provided by the Division, including naming the individual responsible • A requirement for a copy of the CPR poster and First Aid poster to be posted in each building where children are provided care Per Julia Armstrong, Investigation Consultant, stipulation #5 was completed. A requirement and procedures for notifying parents, guardians, or documented emergency contacts of any incidents during which children may be injured or become ill; including the timeframe for notification and documentation of what information was provided, and to whom, during the notification process The policies and procedures shall be submitted to Ms. Armstrong for approval. Ms. Armstrong shall notify Ms. Williams, orally and in writing, as to whether the policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Stipulation #6: Within two (2) weeks after approval of the supplementary policies and procedures to the EMC plan, written plan to ensure children are cared for in a nurturing and safe environment, and written plan to ensure adequate supervision, Ms. Williams shall conduct a mandatory staff meeting to review the approved plans, policies, and procedures. Documentation of the staff meeting shall be an attendance roster with the printed and signed names of each participant and include the date, time, agenda, and minutes of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #6 was completed. Based on the interview and video footage, the allegation regarding supervision is substantiated. 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. In #127, one (1) child was not signed out on 7/29/24, two (2) children were not signed out on 7/30/24, and three (3) children were not signed in today. In #129, two (2) children were not signed out on 7/30/24 and one (1) child was not signed in on 7/30/24. In #130, three (3) children were not signed in today. In #121, two (2) children were not signed in today. In the infant room, two (2) children were not signed out on 7/29/24 and two (2) children were not signed out on 7/30/24. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. On 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. .1801(a)(1-5) Technical assistance was provided as follows: Item #125: Record of arrival and departure Daily record of arrival and departure including the time of arrival and departure for each child shall be maintained accurately. The accurate record of arrival and departure is the first step to prevent supervision mistakes. Each classroom teacher should supervise and supplement each child’s arrival and departure time. 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 #303: Supervision I advise reviewing your facility’s supervision procedures. For the most effective supervision, the teachers may need training during the actual transition process. The positioning of the teachers, when and how to take face counts, what teachers should be doing during the transitions, tools for easier transitions should be reviewed, discussed, revised and implemented. Additional tools, such as door stoppers are useful so that the teachers do not have to rely on the children to hold the door. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Corrective Action Plan: Even though a follow-up visit will be conducted due to violation item303, a separate compliance letter is required for violation item 125. Please follow the below procedures and submit your compliance letter for item 125. 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 8/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed different ways to prevent supervision mistakes including more frequent monitoring by the supervisory staff members, review and training of transition process by the classroom staff members and implementing consequences for incompliance. We also discussed possible Administrative Action for the violation cited during today's visit. I will make a follow-up visit, and a visit every four-to-six weeks afterwards. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0724-214L Visit Date: 7/31/2024 Number Present: 137 Completed Date: 7/31/2024 Age: From 1 To 12 Total Minutes: 300 Time In: 10:30 AM Time Out: 03:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaoru Eddins, Child Care Consultant and also signed by Lauren Wood, Associate Director of Child Care Compliance, during the visit. A signed copy of the visit summary was emailed to you. Amber Williams, Early Education Director and Ms. Wood accompanied me. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 7/23/24. The facility operates with a five-star license issued on 7/6/23. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in room with direct exits only, Includes building at 336 Hill St. limit 15 toileting persons at Hill St. The facility offers a swimming pool, gym, field trips, school pick up, is approved to provide transportation and serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 7/19/24 and sent to me on 7/22/24. There is a concern regarding supervision. Upon arrival, I announced my presence and the purpose of the visit. Children were observed in each classroom. Some children played on the playground and the other group of children transitioned to and from the pool. Transition process and the supervision procedures were mainly monitored during today’s visit. Per Ms. Wood, the incident occurred on 7/18/24 at approximately 9:45am. A three-year-old child was left in the bathroom for approximately 15 minutes upon a transition from the classroom to the pool. At the time of the incident, “Weekly Attendance & Face Count Sheet” was already implemented due to the previous supervision violation. The face count sheet was not filled out by the teacher at the time of the incident. Video footage was monitored. On 7/18/24 at 9:44 am, a group of ten (10) children, three-to-four years of age, started transitioning process to the pool. There were three (3) teachers present. One (1) child went to the bathroom. While the child was in the bathroom, all the other children sat on the chair. Two (2) teachers were assumed to be at the door calling each child’s name. As each child was called, he/she headed to the door. The area around the door was not seen on the video due to the area being a blind spot. When all the children lined up, three (3) teachers and nine (9) children left the classroom at 9:49:22 am. The child left behind is seen coming out of the bathroom area at 9:52:50 am. The child walked around the classroom until 10:06:50 am when Ms. Williams found the child. A group of two-to-three-year-old children from #121 transitioned from the pool to the classroom. One (1) teacher led the group, and the other teacher pulled a wagon at the end of the line. The front teacher looked back and checked the children multiple times during the transition. Upon entering the classroom, the front teacher entered the classroom, followed by the children and the other teacher with the wagon. Head Counts or name-to-face count was not taken upon entering the classroom. The face count sheet has not been filled out since 10:45 am on 7/29/24 for this classroom. The transition procedures from the classroom to the pool was observed in space #127. Ten (10) children, four (4) years of age, were present in the classroom. Upon arrival in the classroom, the children were already wearing bathing suit. One (1) teacher was in and out of the classroom, getting ready for the pool visit. The other teacher supervised the children. Three (3) children were observed to jump on the extra cots stacked together behind the shelf by the bathroom. Four (4) children got on one (1) of the children’s cots and jumped off. Two (2) children played with train tracks. The teacher supervised the group of children helped with clean up, read a book to the children while they were waiting for the transition. The other teacher continued to prepare for the field trip by collecting children’s water bottles from their cubbies and loaded them in the wagon and bringing children’s shoes from the hallway. The ratio was maintained. The Face Count sheet was monitored. At the time of the visit in space # 127, no log was made for today. Ms. Williams directed one (1) of the teachers to correct the sheet. The teacher wrote down 7/29, 10:30 (am), 10 (children) Playground, 7/29, 3:30 (pm), 10 (children), PG, 7/31, 9:30 (am), 9 (children), PG and 7/31, 10:45 (am), 10 (children), pool. At the time of correction, the group of the children was still preparing for the transition to the pool. When preparation was completed, the children lined up in front of the door. One (1) teacher took the face-to-head counts by calling each child's name. After the head counts, both teachers went to the hallway leaving all the children inside. Then the children came out of the classroom holding a rope. The group went through two (2) separate doors and went outside to walk to the pool. The head count of the children or name-to-face counts were not taken when the children were in the hallway or when they stepped outside. The children from space #128 and #130 were combined on the playground. There were four (4) teachers present on the playground. One (1) teacher took a child inside to the bathroom during the observation. The children from space #103 and #104 were combined on the playground. During observation, one (1) child fell on the concrete and injured his/her left temple. A teacher from #104 took the child in the classroom, attended the child and filled out an incident form. While the teacher was attending the child, the other classroom teacher from #104 came in the classroom and left for his/her thirty-minute break, leaving a total of sixteen (16) children from two (2) classrooms to two (2) teachers in space #103. The staff/child ratio was maintained but the transition was not logged on the face-to-head count sheet. The Face count sheet for space #130 was filled out in details. Per log, the transition was logged as follows: 9:40 (am), 8 (children), OLE, 9:45 (am), 1 (child), OLE-OT, and 10:45 (am), 1 (child) OT-OLE. This showed that the one (1) child receiving OT therapy, when he/she left the playground and when he/she came back to the playground. The Face count sheet for space #128 had not been logged since 7/29/24. The face count sheet for space #103 was not utilized for today’s transition. The face count sheet for space #104 was not utilized for today’s transition. In space #129, the face count sheet was logged up to date. The teachers logged 10:55 (am), 8 (children) to pool, 11:01 *am), 8 (children, to classroom, and 11:15 (am), 8 (children), arrived classroom. In space #111 a group of school-age children had lunch. One (1) group leader supervised the children. In separate building, an infant classroom and a toddler classroom were monitored. The face to count sheet was filled up to date for the infant room. The face to count sheet was not filled out for the toddler’s room. Meal time was observed in space #128, 129 and 130. At least one (1) teacher sitting with the children or standing by the table and supervised the children. Along with the Face to count sheet, attendance record was monitored in each classroom. For this facility, parents signed in the arrival and departure time on the clipboard outside of the classroom. Teachers in the classroom check off the child on the “Weekly Attendance & Face Count Sheet”. In space #121, six (6) children were signed in by the parents, but eight (8) children were present. In space #127, ten (10) children were present but only seven (7) children were present. The attendance was not taken for today for this classroom until teachers were directed to do so by Ms. Williams. In #129, seven (7) children were signed in, but eight (8) children were present. In #130, eight (8) children were present, but five (5) children were signed in. The sign-in sheet was accurate for #103, 104 and 128. For the attendance record for 7/29/24 and 7/30/24, many children were not signed out by the parents. Per interview with Ms. Williams and Ms. Wood, the supervisory staff members monitor, supervision procedures, the use of the Face to count sheet and attendance approximately once every two (2) weeks. The supervision process was not adequate enough to prevent another supervision mistakes for the following reasons: • Many teachers has not utilized the “Weekly Attendance & Face Count Sheet” upon arrival of children and upon transition. • Due to inadequate sign-in process by the parents and teachers, each teacher may not know the correct counts of the children in the classroom. • There were frequent transitions of children on the playground for bathroom use, injuries and therapy. Not all transitions of each child were logged, therefore, no all teachers may not have known the accurate counts of the children on the playground. Multiple classrooms were combined on the playground and some teachers supervised the children from different classrooms. Without communication among teachers on the playground, it could lead to potential supervision mistakes. • The transition process was inadequate for teacher’s positions and use of name-to-head counts. Even if the name-to-face count was completed, if both teachers were in the hallway and leaving children in the classroom, some children may have strayed from the line. Therefore, the name-to-face count needed to be taken during the children are transitioning from the classroom to the hallway or before, during and after the transition. One (1) teacher should have been in front of the line and the other teacher should have been positioned at the end of the line. Both teachers should have been taking name-to-face counts without relying on the other teacher. • Teachers sharing the playground did not communicate with one another. Upon leaving the group for a break, diaper change, bathroom use, etc. each teacher should have communicated with the rest of the teachers on the playground to prevent possible mistakes. • Monitoring of supervision procedure by the supervisory staff is not frequent enough to prevent mistakes. The facility received Administrative Action issued on 4/5/24. The following stipulations on the corrective action plan were also monitored. Stipulation #1: The child care operator shall maintain compliance at all times with all applicable child care requirements including, but not limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • North Carolina General Statute § 110-90.2(b)&(d) regarding criminal background check • Child Care Rule 10A NCAC 09. 1801(a)(1-5) regarding supervision • Child Care Rules 10A NCAC 09 .0601(a) and -.0604(i) regarding health and safety • Child Care Rule 10A NCAC 09 .0802 regarding emergency medical care Due to item 303 supervision violation was cited during the visit, stipulation #1 was not met during the visit. Stipulation #2: Within one (1) week after this Notice is received, Amber Williams, administrator, shall contact Kaitlyn Marshall, Child Care Consultant, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, to arrange for a complete review of all applicable child care requirements. Special emphasis shall be placed on violations included with this Notice. The review must be scheduled on a weekday between the hours of 9:00 am and 4:00 pm. No children shall be in care during this training. All staff members, including administrative, full-time, part-time, auxiliary, substitute, and volunteer staff, shall participate in this mandatory training. Documentation of the training shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #3: Within one (1) week after the rules review is completed, Ms. Williams shall develop a written plan to ensure children are cared for in a safe and healthy environment and treated in a nurturing and caring manner. The written plan shall include, but not be limited to, the following: • North Carolina General Statute § 110-91(10) regarding nurture, care, and treatment of children • Child Care Rule 10A NCAC 09 .0601(a) regarding safe environment • Child Care Rule 10A NCAC 09 .0604(i) regarding required non-smoking signage • A plan to ensure no smoking signage is posted as required • A plan to ensure staff, parents, and visitors do not smoke while on the facility premises • Procedures for staff to interact with children in a nurturing and caring manner • Acceptable and unacceptable techniques used to handle children to prevent injuries • Procedures for staff during breaks and meal times, including a requirement that staff cannot consume hot foods or beverages in areas children are cared for • Procedures for routine observations and evaluations of each staff member to ensure compliance with child care requirements and facilities policies and procedures related to care, treatment, and safety of children • Procedures for staff to notify administrators of concerns in a timely manner, including when administrators are off premises • Procedures for the facility’s administrators to respond to all reports of inappropriate care, treatment, or safety of children, including a requirement to notify the child’s parent when an incident occurs • Consequences for staff members who fail to comply with the facility’s policies and/or child care requirements • A plan for regular review of the plan with all staff members, including a review of the plan in orientation of new staff members before they assume child care responsibilities Per Julia Armstrong, Investigation Consultant, stipulation #2 was completed. Stipulation #4: Within two (2) weeks after the training, Ms. Williams shall develop a written plan that describes, in detail, the steps the facility will take to ensure adequate supervision of children. The written plan shall include, but not be limited to, the following: • When children are transitioned from one caregiver to another • When children are transitioned from one area to another • Positioning of teachers for active supervision in the classroom, during transitions and on the playground • Procedures for supervisory staff members to monitor staff members’ implementation of the transition plan • Plan of communication among co-teachers, floaters, support staff and administrators during breaks and shift change as well as when staff members need extra help • Procedures for staff members to notify administrators and parents when an incident occurs • Consequences of staff members’ non-compliance with policies and procedures The supervision written plan shall be submitted to Kaitlyn Marshall, Child Care Consultant, PO Box 19531, Asheville, NC 28815, telephone number 828-713-8192, email kaitlyn.marshall@dhhs.nc.gov, for approval. Ms. Marshall shall notify Ms. Williams, orally and in writing, as to whether the written plan is approved or if modifications are needed. Once approved, the written plan shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the approved written plan shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Ms. Wood, stipulation #4 was submitted and approved by Kaitlyn Marshall, Child Care Consultant. However, the staff members are not following these procedures during today’s observation. Therefore, stipulation #4 was not met during today’s visit. Stipulation #5: Within three (3) weeks after the rules review is completed, Ms. Williams shall develop supplementary written policies and procedures to the facility’s existing Emergency Medical Care (EMC) plan that provides clear instructions to staff members regarding implementation of the EMC plan. The written policies and procedures regarding the EMC plan shall include, but not be limited to, the following: • A requirement and procedures for staff members to document any observations regarding potential or suspected injuries of children • A requirement that the person calling 911 have knowledge of the situation • Procedures for documenting incidents on an incident report form and procedures for maintaining a copy of the form in the child’s file • Procedures for documenting incidents on the incident log form provided by the Division, including naming the individual responsible • A requirement for a copy of the CPR poster and First Aid poster to be posted in each building where children are provided care Per Julia Armstrong, Investigation Consultant, stipulation #5 was completed. A requirement and procedures for notifying parents, guardians, or documented emergency contacts of any incidents during which children may be injured or become ill; including the timeframe for notification and documentation of what information was provided, and to whom, during the notification process The policies and procedures shall be submitted to Ms. Armstrong for approval. Ms. Armstrong shall notify Ms. Williams, orally and in writing, as to whether the policies and procedures are approved or if modifications are needed. Once approved, the policies and procedures shall be immediately implemented and permanently incorporated into the facility’s operating procedures. A copy of the policies and procedures shall be maintained in facility files for review by representatives of the Division of Child Development and Early Education upon request. Stipulation #6: Within two (2) weeks after approval of the supplementary policies and procedures to the EMC plan, written plan to ensure children are cared for in a nurturing and safe environment, and written plan to ensure adequate supervision, Ms. Williams shall conduct a mandatory staff meeting to review the approved plans, policies, and procedures. Documentation of the staff meeting shall be an attendance roster with the printed and signed names of each participant and include the date, time, agenda, and minutes of the meeting. All documentation shall be maintained in the facility files for review by representatives of the Division of Child Development and Early Education upon request. Per Julia Armstrong, Investigation Consultant, stipulation #6 was completed. Based on the interview and video footage, the allegation regarding supervision is substantiated. 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. In #127, one (1) child was not signed out on 7/29/24, two (2) children were not signed out on 7/30/24, and three (3) children were not signed in today. In #129, two (2) children were not signed out on 7/30/24 and one (1) child was not signed in on 7/30/24. In #130, three (3) children were not signed in today. In #121, two (2) children were not signed in today. In the infant room, two (2) children were not signed out on 7/29/24 and two (2) children were not signed out on 7/30/24. 10A NCAC 09 .0302(d)(4) 303 Children were not adequately supervised at all times. On 7/18/24, a child, three (3) years of age, were left behind in the classroom from 9:49 am to 10:06 am upon transition from the classroom to the pool. The incident occurred in space #129. .1801(a)(1-5) Technical assistance was provided as follows: Item #125: Record of arrival and departure Daily record of arrival and departure including the time of arrival and departure for each child shall be maintained accurately. The accurate record of arrival and departure is the first step to prevent supervision mistakes. Each classroom teacher should supervise and supplement each child’s arrival and departure time. 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 #303: Supervision I advise reviewing your facility’s supervision procedures. For the most effective supervision, the teachers may need training during the actual transition process. The positioning of the teachers, when and how to take face counts, what teachers should be doing during the transitions, tools for easier transitions should be reviewed, discussed, revised and implemented. Additional tools, such as door stoppers are useful so that the teachers do not have to rely on the children to hold the door. 10A NCAC 09 .1801 SUPERVISION IN CHILD CARE CENTERS (a) Children shall be adequately supervised at all times in child care centers. Adequate supervision shall mean that: (1) staff must be positioned in the indoor and outdoor environment to maximize their ability to hear or see the children at all times and render assistance; (2) staff must interact with the children while moving about the indoor or outdoor area; (3) staff must know where each child is located and be aware of the children's activities at all times; (4) staff must provide supervision appropriate to the individual age, needs, and capabilities of each child; and (5) staff must be able to see and hear children aged birth to five years old while the children are eating. All of the conditions in this Paragraph shall apply except when emergencies necessitate that adequate supervision is impossible. Documentation of emergencies shall be maintained and available for review by Division representatives upon request. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). Based on today’s findings, this child care facility received a substantiated complaint regarding supervision. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. Corrective Action Plan: Even though a follow-up visit will be conducted due to violation item303, a separate compliance letter is required for violation item 125. Please follow the below procedures and submit your compliance letter for item 125. 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 8/14/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaoru.eddins@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaoru Eddins PO Box 795 Pisgah Forest, NC 28768 Please call me at 828-556-9013 or email kaoru.eddins@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed different ways to prevent supervision mistakes including more frequent monitoring by the supervisory staff members, review and training of transition process by the classroom staff members and implementing consequences for incompliance. We also discussed possible Administrative Action for the violation cited during today's visit. I will make a follow-up visit, and a visit every four-to-six weeks afterwards. 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. 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 to 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 can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. 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 .0601 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0902 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0102 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0514 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0601 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0606 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0607 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0802 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0803 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .0902 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .1101 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .2508 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .2510 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 .2703 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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. 110-105 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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

GS110-91 · Violation

Name of Operation: ASHEVILLE JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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 JEWISH COMMUNITY CENTER Facility ID: 11000138 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/1/2024 Number Present: 160 Completed Date: 5/1/2024 Age: From 0 To 10 Total Minutes: 465 Time In: 09:00 AM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Amber Williams, Administrator, during the visit. Bonnie Mathis, Licensing Supervisor, and Dawn McCrary, Child Care Consultant accompanied me on the visit today. A signed copy of the visit summary was emailed to you. Lauren Wood, Associate Director of Compliance, and Amber Williams, Administrator, were present and available to ask and answer questions throughout the visit today. Ms. Williams accompanied me on the walkthrough of caregiving spaces. Ms. Wood assisted with staff and children’s files. 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 seventy-nine percent (79%) as of 4/25/24. The Administrative Action issued 4/5/24 was posted in a place visible to parents. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Jewish Community Center of Asheville, Inc., is current/active as of 4/25/24. Permit type – Five (5) star license issued 7/6/23. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, meets enhanced space, children under 2.5 years old in rooms with direct exits only, includes building located at 336 Hill St. limit 15 toileting persons at Hill St. The facility is approved to offer transportation, field trips, school pick up, swimming pool, gym, and serves children with special needs. The last annual compliance visit was conducted on 5/16/23. The last fire drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/18/24. The last lockdown drill for the building at 326 Charlotte St. and for the building at 336 Hill St. was conducted on 4/8/24. The last playground inspection for JCC Kids (afterschool), Shalom Children’s Center (preschool), and Hilde’s House (infant/toddler) was documented on 4/18/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 10/23/23 with thirteen (13) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 5/26/23. The approved curriculum for four-year-old children is Banks Street Explorations with Young Children. The program is approved to provide transportation. Transportation was monitored today. The vehicle was inspected today. A first aid kit and fire extinguisher were present on the vehicle. The registration expires on 12/31/24. The insurance expires 11/15/24. Transportation is utilized for special occasions only. Upon arrival I was greeted by Ms. Wood and Ms. Williams. In classroom space 6, children were pretending to cook in dramatic play, and read a book with caregivers. In classroom space 7, children participated in a large group read aloud as staff sanitized the tables for snack brought from home. Children from classroom space 1 were participating a music and movement activity in the gym. Children from classroom space 5 were split into two (2) groups. One group of children was inside the classroom drawing and exploring toy cars. The second group of children was playing outside in playground space 1. Children from classroom spaces 4, 3, and 2 were playing outside on playground space 1. Children explored tennis balls on ramps and dug in the sandbox. In classroom space 12, children came in from outdoors and washed hands. Children then engaged in a music and movement activity while staff changed diapers. Staff changed diapers according to requirements. In classroom space 17, children were exploring their environment through cruising and crawling and sharing toys with caregivers. 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 533 Human milk, formula and other bottled beverages including sippy cups, sent from child's home were not fully prepared, dated, and labeled for the appropriate child. In classroom space 12, one (1) milk was dated for 4/29/24 and one (1) milk was dated for 4/30/24. In classroom space 7, one (1) milk was dated 4/29/24. 15A NCAC 18A .2804(d) 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. Seven (7) infant feeding plans were not posted in classroom space 12. 10A NCAC 09 .0902(a) 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. Three (3) infant feeding plans were not signed by parents in classroom space 12. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. A crochet tapestry was hanging within reach of children in classroom space 11, posing a possible strangulation hazard. 10A NCAC 09 .0601(a) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. One(1) seizure medication in classroom space 5 was not stored in the original pharmacy label. .0803(2)(a) 847 Parent's medication authorization did not include required information. The permission for two (2) diaper creams in classroom space 7 did not criteria for administration of medication, manner in which creams are to be applied, signature of parent, date of authorization. 10A NCAC 09 .0803(4)(6-9) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per the staff and training worksheets, three (3) staff have not reviewed the EMC plan annually. 10A NCAC 09 .0802(a) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. Per the staff and training worksheet, three (3) staff do not have a medical report on file. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. Per the staff and training worksheet, two (2) staff do no have TB test or TB screening results on file. .0701(a) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Per the staff and training worksheet, three (3) staff did not receive at least 16 hours of orientation within first 6 weeks. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. Per the staff and training worksheet, three (3) staff did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Per the staff and training worksheets, two (2) staff do not have a signed and dated statement that they received operational policies. 10A NCAC 09 .0514(g) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. One (1) medical assessment did not contain a physician signature or a stamp of completion by a doctor's office. (Refer to the Children's Form) GS110-91(1) 1757 A valid qualification letter was not on file and available to review at the facility. A qualification letter was not on site for C.R., who is an Occupational Therapist that was left alone with children. G.S. 110-90.2(b) & (d) & .2703(e) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. Per the staff and training worksheet, twenty (20) staff have not reviewed the EPR plan annually. .0607(e) 1898 Staff did not complete the health and safety training within one year of employment. Per the staff and training worksheet, thirteen (13) staff have not completed health and safety training within one year of hire. .1102(a) Technical assistance was provided as follows: Item #1321 We discussed a medical assessment for A. J. was a computerized list of medical visits; however, it did not contain the physician’s name or office date documenting the medical assessment. § 110-91. Mandatory standards for a license (1) Each child shall have a health assessment before being admitted or within 30 days following admission to a child care facility. The assessment shall be done by: (i) a licensed physician, (ii) the physician's authorized agent who is currently approved by the North Carolina Medical Board, or comparable certifying board in any state contiguous to North Carolina, (iii) a certified nurse practitioner, or (iv) a public health nurse meeting the Departments Standards for Early Periodic Screening, Diagnosis, and Treatment Program. Item #1797 An Occupational Therapist, C. Robinson was working with children one on one during today’s visit. During the visit, the qualifying letter was verified in the system and a current criminal background check has been completed; however, a letter was not on file. The CBC qualifying letter for C. Robinson must be on file at the facility. 10A NCAC 09 .2703 CRIMINAL HISTORY RECORD CHECK REQUIREMENTS FOR CHILD CARE PROVIDERS (e) Child care providers, as defined in G.S. 110-90.2(a), shall have a valid qualification letter prior to employment or living in a child care facility and the qualification letter shall be kept on file at the facility for review by representatives of the Division. Item #540 Plan to post all infant feeding plans for quick reference by all caregivers. We discussed this can be posted on a ring or individually in the classroom. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #541 The parents must sign the infant feeding plans in classroom space 12. Plan to review the plan with parents to ensure information is accurate. 10A NCAC 09 .0902 REQUIREMENTS FOR INFANTS (a) The parent or health care provider of each child under 15 months of age shall provide the center an individual written feeding plan for the child. This plan shall be followed at the center. This plan shall include the child's name, be signed by the parent or health care provider, and be dated when received by the center. Each infant's plan shall be modified in consultation with the child's parent or health care provider to reflect changes in the child's needs as he or she develops. The feeding instructions for each infant shall include the type and amount of milk, formula and food, the frequency of feedings and be posted for reference by the caregivers. Item #533 All milk and other beverages prepared in sippy cups or bottles must be labeled with the child’s name and date it is brought to the center. 15A NCAC 18A .2804 FOOD SUPPLIES (d) All human milk, formula, and other bottled beverages, including beverages in sippy cups, that are sent from home shall be fully prepared and labeled with the date received at the child care center and the name of the child to whom the milk, formula, or beverage belongs before being brought to the child care center. All human milk, formula, and other bottled beverages shall be sent home with the child whose name is on the label or discarded at the end of each day. Formula and other beverages that require refrigeration, baby food that has been opened, and human milk shall be labeled with the name of the child to whom the beverage, baby food, or milk belongs and shall be refrigerated at 45 degrees Fahrenheit or below. Item #807 Plan to move the tapestry higher up so that it is not accessible to children, or remove the tapestry from the caregiving space. 10A NCAC 09 .0601 SAFE ENVIRONMENT (a) All child care centers shall provide a safe indoor and outdoor environment for the children in care. Item #844 The parents must provide the original pharmacy label medication for the nasal spray seizure medication. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (2) Prescribed medications: (a) shall be stored in the original containers in which they were dispensed with the pharmacy labels; Item #847 The parents of the children with the two (2) diaper creams must complete the topical administration form. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS The following provisions apply to the administration of medication in child care centers: (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. Item #1232 Each employee’s personnel file did not contain an annual staff evaluation and a staff development plan. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Per the staff and training worksheet, eight (8) do not have a current annual staff evaluation. Per the staff and training worksheet, eight (8) do not have a current staff development plan or annual staff evaluation on file. Item #1898 Staff did not complete the health and safety training within one year of employment. All staff must complete health and safety training within one (1) year of employment. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (a) Child care administrators and staff members shall complete health and safety training within one year of employment, unless the staff member has completed the training within the year prior to beginning employment. Health and safety training shall be in addition to the new staff orientation requirements set forth in Rule .1101 of this Section. The following persons shall be exempt from this requirement: (1) staff members that do not have caregiving responsibilities for a child or group of children; (2) service providers such as speech therapists, occupational therapists, and physical therapists; and (3) substitute providers who provide services for less than 10 days in a 12-month period. Item #1045 and #1067 -New staff who have contact with children, did not receive at least 16 hours of orientation within first 6 weeks. -Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. 10A NCAC 09 .2510 STAFF QUALIFICATIONS (i) All staff shall receive on-site training and orientation as follows: (1) Within the first two weeks of assuming responsibility for supervising a group of children, each employee shall complete at least six clock hours of training on: (A) recognizing, responding to, and reporting child abuse, neglect or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301; (B) the center's operational policies, including the transportation policy, identification of building and premises safety issues, Emergency Preparedness and Response Plan and the emergency medical care plan; (C) adequate supervision of children, taking into account their age, emotional, physical, and cognitive development; and (D) prevention and control of infectious diseases, including immunization; and (2) Within the first six weeks of assuming responsibility for supervising a group of children, each employee shall complete at least three additional clock hours of training on: (A) maintaining a safe and healthy environment and developmentally appropriate activities for school-age children; (B) firsthand observations of the program's daily operations and instruction in the employee's assigned duties; (C) instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803; (D) successfully complete CPR and First Aid training appropriate for the ages of children in care; (E) prevention of and response to emergencies due to food and allergic reactions; (F) review of the program's handling and storage of hazardous materials and the appropriate disposal of biocontaminants; and (G) review of child care licensing law and rules, including an explanation of the role of State and local government agencies in the regulation of child care and the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations. (j) Staff in part-time, full day, or track-out school-age care programs required to complete BSAC training shall do so within three months of becoming employed. Item #1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. 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: Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report- A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #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 they were free of active TB and/or TB test or screening was older than 12 months. Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. 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. Item #1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. 10A NCAC 09 .0607 EMERGENCY PREPAREDNESS AND RESPONSE IN CHILD CARE CENTERS (f) All staff shall review the center's Emergency Preparedness and Response Plan during orientation and on an annual basis with the trained staff. Documentation of the review shall be maintained at the center in the individual's personnel file or in a file designated for emergency preparedness and response plan documents. Item #862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (a) Each child care center shall have a written plan that sets forth the steps to follow in the event of a child medical emergency. The plan shall be reviewed with all staff annually and whenever the plan is revised. This plan shall give the procedures to be followed to ensure that any child who becomes ill or is injured and requires medical attention while in care at the center receives appropriate medical attention. The following information shall be included in the center's emergency medical care plan: (1) The name of the person and at least one alternate, responsible for carrying out that plan of action, ensuring that appropriate medical care is given, and determining which of the following is needed: (A) first aid given at the center for an injury or illness needing only minimal attention; and (B) calling 911 in accordance with CPR or First Aid training recommendations. (2) The name of the person and one alternate, at the center responsible for: (A) ensuring that the signed authorization described in Paragraph (d) of this Rule is taken with the ill or injured child to the medical facility; (B) accompanying the ill or injured child to the medical facility; (C) notifying a child's parents or emergency contact person about the illness or injury and where the child has been taken for treatment; (D) obtaining substitute staff, if needed, to maintain required staff/child ratio and adequate supervision of children who remain in the center; and (3) A statement giving the location of the telephone located on the premises available for use in case of emergency. A telephone located in an office in the center that is sometimes locked during the time the children are present shall not be designated for use in an emergency. Item #1233 Each employee’s personnel file did not contain a signed and dated statement that they received a job description and that they have reviewed personnel and operational policies. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan. 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 5/15/24. 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 safe pick-up and delivery statement. The statement must be posted in a place visible to parents. We discussed this statement is shared with parents at enrollment, but must also be posted. Plan to check the expiration dates on topical medications monthly. Topical medications that were expired were removed from the classrooms today. We discussed the JCC Kids enrollment form and emergency medical authorization must be accessible to staff. We discussed these documents should be printed and placed in the clipboards for JCC Kids staff. We discussed possible interest in a natural playground environment for the Clyde Street playground space. Plan to visit https://naturalearning.org/ to learn more about the Natural Learning Initiative. We discussed documenting times on the teacher sign in/out sheet for each class in case a parent misses a sign in during departure or arrival. We discussed infant feeding plans. Parents do not need to complete the first page of the plan, only the second page. Children and staff were observed using the elevator. We discussed if written procedures are in place in the event of a power outage. You stated you are not aware and will review the EPR plan to ensure that procedures are in place and reviewed with staff. We discussed you have reached out to our child care health consultant for guidance on this. We discussed annual in-service training is based on the staff member’s date of employment and not on a licensing year. There is a standard blanket medication statement on the parent application paperwork for permission to administer sunscreen, ointments, bug spray. We discussed this statement does not contain all required information. You stated the parent completes an individual permission to administer for any medication brought to the center by the parent or if the parent uses the sunscreen provided by the facility. We discussed this statement should be removed from the application. 10A NCAC 09 .0803 ADMINISTERING MEDICATION IN CHILD CARE CENTERS (7) A parent may give a caregiver standing authorization for up to 12 months to apply over-the-counter, topical ointments, topical teething ointment or gel, insect repellents, lotions, creams, fluoridated toothpaste, and powders, such as sunscreen, diapering creams, baby lotion, and baby powder, to a child, when needed. The authorization shall be in writing and shall contain: (a) the child's name; (b) the names of the authorized ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (c) the criteria for the administration of the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders; (d) the manner in which the ointments, repellents, lotions, creams, fluoridated toothpaste, and powders shall be applied; (e) the signature of the parent; (f) the date the authorization was signed by the parent; and (g) the length of time the authorization is valid, if less than 12 months. We discussed the center’s safe sleep policy states “use of blankets on a crib mattress on the floor for older infants”. We discussed this statement needs to be removed from the policy as blankets are not allowed for children under 12 months of age. 10A NCAC 09 .0606 SAFE SLEEP PRACTICES (a) Each center licensed to care for infants aged 12 months or younger shall develop, adopt, and comply with a written safe sleep policy that: (2) specifies no pillows, wedges or other positioners, pillow-like toys, blankets, toys, bumper pads, quilts, sheepskins, loose bedding, towels and washcloths, or other objects may be placed with a sleeping infant aged 12 months or younger; During today’s visit the school-age children were located on the open field. The children’s individual belongings were located on the ground touching other children’s belongings. We discussed this is a sanitation requirement and all personal belongings are to be placed at a minimum 12 inches apart. 15A NCAC 18A .2820 STORAGE (f) Individual cubicles, lockers, or coat hooks shall be provided for storage of coats, hats, bags, or other items and accessories. Coat hooks not in individual cubicles or lockers, shall be spaced at least 12 horizontal inches apart. A child's coats, hats, bags, and other items or accessories belonging to a child that are stored using cubicles, lockers, or coat hooks shall not come into contact with stored items belonging to other children. In review of the swings located on the school-age playground, measurements were conducted to verify compliance with fall zone requirements. A tree has been planted in the corner and a box was placed around the tree. The box protruded out into the fall zone area. During the visit, the swings were removed from the playground and consultation regarding fall zone requirements was conducted today. The fall zone measured 16 inches from the base out. Adequate fall zone of 16 inches from the front and back must be maintained within a minimum of 6 inches of surfacing. 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (2) Swings shall have protective surfacing that extends two times the length of the pivot point to the surface below. The surfacing shall be to the front and rear of the swing. There is a TV located in one of the school-age spaces. You were not aware of how often the children participate in screen time. We addressed a log is required whenever any screen is used. 10A NCAC 09 .2508 AGE APPROPRIATE ACTIVITIES (e) When screen time is provided on any electronic device with a visual display, it shall be: (1) offered as a free choice activity; (2) used to meet a developmental goal; (3) limited to a maximum of 30 minutes per day and no more than two and a half hours per week, per child; (4) documented on a cumulative log or activity plan, available for review by a representative of the Division; and (5) usage time periods may be extended for school assigned homework. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. Your facility has been placed in cohort 2. Your Prep Year is 7/1/24-6/30/25. Your Reassessment Year is 7/1/25-6/30/26. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at 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