Blue Ridge Montessori School

10A NCAC 09 .0304 · Violation

Name of Operation: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/15/2026 Number Present: 24 Completed Date: 6/15/2026 Age: From 2 To 6 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator/Owner, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 5/26/26. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 5/27/26. The last shelter-in-place drill was practiced on 3/12/26. The last playground inspection was documented on 5/27/26. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/20/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were exploring the outdoor learning environment. Children participated in a small group, teacher-led gardening lesson, swung on swings, and pretended to cook and eat food in an outdoor dramatic play center. Interactions were positive and nurturing. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 3/24/25. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were twenty-four (24) children present ages two to six years old. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While transitioning to the indoor environment from the outdoor environment, three (3) children entered the classroom unattended, as the teacher helped other children walk up the stairs to the entrance. The door closed behind the children who entered the classroom unattended, therefore the teacher could not see or hear the three (3) children for approximately thirty (30) seconds. .1801(a)(1-5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The Emergency Medical Care plan was reviewed with all staff on 6/25/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for the Administrator was last completed on 6/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information for the Administrator was last completed on 6/24/24. .0701(a) 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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25 .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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25. .1102(d) 1302 Individual applications were not on file for each child. The application for one (1) child was not on file. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for three (3) children did not include the authorization for emergency medical care. .0802(d) 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. Four (4) staff were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated on 7/2/24. .0607(e) Technical assistance was provided as follows: Item #106: To reach compliance with this item, the fire inspection must be completed and documented on the Division’s form and the form must be sent to me. The fire marshal was contacted during the visit today. The fire marshal sent the signed fire inspection form to me during the visit today. This is corrected. Item #301: The youngest child is two years old, therefore the maximum group size allowed by minimum standards is twenty (20) children. To reach compliance with this item, only twenty (20) children can be present in each group if the youngest child is two years old. We discussed the indoor space can be physically divided into two (2) separate spaces to divide the children into two (2) smaller groups. During the visit today, you rearranged the space to provide two (2) separate spaces for two (2) groups of children. The smaller space, space 1a, was measured during the visit today and can accommodate six (6) children at 25 square feet per children. The remainder of the classroom, space 1b, can accommodate the remaining twenty-four (24) children allowed per license capacity. The facility is licensed to serve thirty (30) children total. Please note, each space must have its own copy of a schedule, activity plan and staff/child ratio sheet. This is a six (6) point violation. A follow-up visit will be made to ensure compliance with group sizes. If the group size exceeds the maximum allowable amount per G.S. 110-91(7) and Child Care Rule .0713(a-e), a repeat violation will be cited. Back to back violations regarding group size may warrant an Administrative Action recommendation. Item #303: Staff must be able to see or hear children at all times for adequate supervision. Additionally staff must be able to render immediate assistance to children if needed. We discussed staff establishing routines for children and staff that ensure children are adequately supervised at all times. For example, establish the routine that children must stop at the doorway and wait for staff to open the door. This is a six (6) point violation. A follow-up visit must be made to ensure compliance with supervision. If supervision is not adequate during the return visit, a repeat violation will be cited. Back to back violations regarding supervision may warrant an Administrative Action recommendation. Item #862: To reach compliance with this item, plan to review the Emergency Medical Care Plan with all staff and have staff sign an acknowledgement that they have reviewed the plan with you. Item #1034 and #1035: The Emergency Information/ Health Questionnaire was completed by the Administrator during the visit today. This is corrected. Item #1048 and #1409: To reach compliance with these items, the staff must compete an approved CPR/First Aid training and the training certificate or another form of documentation that the staff member completed the training must be on file. Please note, back to back violations regarding CPR/First Aid Training may result and an Administrative Action. Item #1302: The parent completed the application and all accompanying paper work during the visit today. This is corrected. Moving forward, ensure all children have enrollment paperwork on file prior to the first day of attending the program. This requirement applies to staff’s school-aged children as well. Item #1317: To reach compliance with this item, the parents of the three (3) children must sign the authorization for emergency medical care. A copy of the Division’s child enrollment application was provided to you during the visit today. Plan to use this form for the enrollment application to ensure all required information is captured. In your letter of compliance, include a statement that indicates the authorization for emergency medical care was signed by the parent. Item #1805: To reach compliance with this item, all staff must be connected to your facility in the ABCMS Provider Portal. Click by click instructions were provided to you in the email containing this visit summary today. We discussed NCID login information is a barrier to reaching compliance. After staff go to ncabcms.nc.gov, they can click on “Trouble signing on?” and then click on “Forgot username”. Follow the prompts to retrieve the user name. Then, go back to ncabcms.nc.gov, click on “Trouble signing on” and then click on “Forgot password?”. Follow the prompts to reset the password. Once staff have their updated log in information for NCID, I highly recommend they write down this information and then take a picture of the information so that they have multiple copies. The NCID login is used for many DCDEE requirements and must be kept active to avoid further technological difficulties. If you need additional time to reach compliance with this item, you can request an extension in writing via email. In your extension request you must include: -the item number -the reason an extension is needed, in detail -the date the extension is needed to Item #1824: To reach compliance with this item, the Emergency Preparedness and Response plan must be updated in the risk management portal. Here is the link for the Risk Management Portal: https://rmp.nc.gov/portal/portal.aspx Additionally, here is the EPR Plan webpage from the Division’s website that includes contact information for support if needed: https://ncchildcare.ncdhhs.gov/Provider/Emergency-Preparedness-and-Response Achieving Compliance: A follow-up visit will be conducted to verify compliance of group size and supervision. 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 6/29/26. 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: The Annual Staff Evaluation and Staff Development plan for MC, MZ and SG is due by 6/26/26. The follow staff will be due to receive their new Criminal Background Check (CBC) qualification letters soon. I recommend they begin the process immediately to avoid delay: G. Fournier-Southern M. Zorn These staff can complete the process for a new CBC letter when they complete the connecting application in ABCMS. Approved Floor Plan: 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.” 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. 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. Staff MZ will be due to complete Health and Safety Training by August 2026. Staff HH will be due to complete Health and Safety Training by 11/19/26. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/15/2026 Number Present: 24 Completed Date: 6/15/2026 Age: From 2 To 6 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator/Owner, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 5/26/26. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 5/27/26. The last shelter-in-place drill was practiced on 3/12/26. The last playground inspection was documented on 5/27/26. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/20/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were exploring the outdoor learning environment. Children participated in a small group, teacher-led gardening lesson, swung on swings, and pretended to cook and eat food in an outdoor dramatic play center. Interactions were positive and nurturing. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 3/24/25. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were twenty-four (24) children present ages two to six years old. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While transitioning to the indoor environment from the outdoor environment, three (3) children entered the classroom unattended, as the teacher helped other children walk up the stairs to the entrance. The door closed behind the children who entered the classroom unattended, therefore the teacher could not see or hear the three (3) children for approximately thirty (30) seconds. .1801(a)(1-5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The Emergency Medical Care plan was reviewed with all staff on 6/25/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for the Administrator was last completed on 6/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information for the Administrator was last completed on 6/24/24. .0701(a) 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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25 .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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25. .1102(d) 1302 Individual applications were not on file for each child. The application for one (1) child was not on file. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for three (3) children did not include the authorization for emergency medical care. .0802(d) 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. Four (4) staff were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated on 7/2/24. .0607(e) Technical assistance was provided as follows: Item #106: To reach compliance with this item, the fire inspection must be completed and documented on the Division’s form and the form must be sent to me. The fire marshal was contacted during the visit today. The fire marshal sent the signed fire inspection form to me during the visit today. This is corrected. Item #301: The youngest child is two years old, therefore the maximum group size allowed by minimum standards is twenty (20) children. To reach compliance with this item, only twenty (20) children can be present in each group if the youngest child is two years old. We discussed the indoor space can be physically divided into two (2) separate spaces to divide the children into two (2) smaller groups. During the visit today, you rearranged the space to provide two (2) separate spaces for two (2) groups of children. The smaller space, space 1a, was measured during the visit today and can accommodate six (6) children at 25 square feet per children. The remainder of the classroom, space 1b, can accommodate the remaining twenty-four (24) children allowed per license capacity. The facility is licensed to serve thirty (30) children total. Please note, each space must have its own copy of a schedule, activity plan and staff/child ratio sheet. This is a six (6) point violation. A follow-up visit will be made to ensure compliance with group sizes. If the group size exceeds the maximum allowable amount per G.S. 110-91(7) and Child Care Rule .0713(a-e), a repeat violation will be cited. Back to back violations regarding group size may warrant an Administrative Action recommendation. Item #303: Staff must be able to see or hear children at all times for adequate supervision. Additionally staff must be able to render immediate assistance to children if needed. We discussed staff establishing routines for children and staff that ensure children are adequately supervised at all times. For example, establish the routine that children must stop at the doorway and wait for staff to open the door. This is a six (6) point violation. A follow-up visit must be made to ensure compliance with supervision. If supervision is not adequate during the return visit, a repeat violation will be cited. Back to back violations regarding supervision may warrant an Administrative Action recommendation. Item #862: To reach compliance with this item, plan to review the Emergency Medical Care Plan with all staff and have staff sign an acknowledgement that they have reviewed the plan with you. Item #1034 and #1035: The Emergency Information/ Health Questionnaire was completed by the Administrator during the visit today. This is corrected. Item #1048 and #1409: To reach compliance with these items, the staff must compete an approved CPR/First Aid training and the training certificate or another form of documentation that the staff member completed the training must be on file. Please note, back to back violations regarding CPR/First Aid Training may result and an Administrative Action. Item #1302: The parent completed the application and all accompanying paper work during the visit today. This is corrected. Moving forward, ensure all children have enrollment paperwork on file prior to the first day of attending the program. This requirement applies to staff’s school-aged children as well. Item #1317: To reach compliance with this item, the parents of the three (3) children must sign the authorization for emergency medical care. A copy of the Division’s child enrollment application was provided to you during the visit today. Plan to use this form for the enrollment application to ensure all required information is captured. In your letter of compliance, include a statement that indicates the authorization for emergency medical care was signed by the parent. Item #1805: To reach compliance with this item, all staff must be connected to your facility in the ABCMS Provider Portal. Click by click instructions were provided to you in the email containing this visit summary today. We discussed NCID login information is a barrier to reaching compliance. After staff go to ncabcms.nc.gov, they can click on “Trouble signing on?” and then click on “Forgot username”. Follow the prompts to retrieve the user name. Then, go back to ncabcms.nc.gov, click on “Trouble signing on” and then click on “Forgot password?”. Follow the prompts to reset the password. Once staff have their updated log in information for NCID, I highly recommend they write down this information and then take a picture of the information so that they have multiple copies. The NCID login is used for many DCDEE requirements and must be kept active to avoid further technological difficulties. If you need additional time to reach compliance with this item, you can request an extension in writing via email. In your extension request you must include: -the item number -the reason an extension is needed, in detail -the date the extension is needed to Item #1824: To reach compliance with this item, the Emergency Preparedness and Response plan must be updated in the risk management portal. Here is the link for the Risk Management Portal: https://rmp.nc.gov/portal/portal.aspx Additionally, here is the EPR Plan webpage from the Division’s website that includes contact information for support if needed: https://ncchildcare.ncdhhs.gov/Provider/Emergency-Preparedness-and-Response Achieving Compliance: A follow-up visit will be conducted to verify compliance of group size and supervision. 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 6/29/26. 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: The Annual Staff Evaluation and Staff Development plan for MC, MZ and SG is due by 6/26/26. The follow staff will be due to receive their new Criminal Background Check (CBC) qualification letters soon. I recommend they begin the process immediately to avoid delay: G. Fournier-Southern M. Zorn These staff can complete the process for a new CBC letter when they complete the connecting application in ABCMS. Approved Floor Plan: 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.” 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. 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. Staff MZ will be due to complete Health and Safety Training by August 2026. Staff HH will be due to complete Health and Safety Training by 11/19/26. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/15/2026 Number Present: 24 Completed Date: 6/15/2026 Age: From 2 To 6 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator/Owner, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 5/26/26. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 5/27/26. The last shelter-in-place drill was practiced on 3/12/26. The last playground inspection was documented on 5/27/26. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/20/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were exploring the outdoor learning environment. Children participated in a small group, teacher-led gardening lesson, swung on swings, and pretended to cook and eat food in an outdoor dramatic play center. Interactions were positive and nurturing. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 3/24/25. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were twenty-four (24) children present ages two to six years old. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While transitioning to the indoor environment from the outdoor environment, three (3) children entered the classroom unattended, as the teacher helped other children walk up the stairs to the entrance. The door closed behind the children who entered the classroom unattended, therefore the teacher could not see or hear the three (3) children for approximately thirty (30) seconds. .1801(a)(1-5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The Emergency Medical Care plan was reviewed with all staff on 6/25/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for the Administrator was last completed on 6/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information for the Administrator was last completed on 6/24/24. .0701(a) 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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25 .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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25. .1102(d) 1302 Individual applications were not on file for each child. The application for one (1) child was not on file. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for three (3) children did not include the authorization for emergency medical care. .0802(d) 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. Four (4) staff were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated on 7/2/24. .0607(e) Technical assistance was provided as follows: Item #106: To reach compliance with this item, the fire inspection must be completed and documented on the Division’s form and the form must be sent to me. The fire marshal was contacted during the visit today. The fire marshal sent the signed fire inspection form to me during the visit today. This is corrected. Item #301: The youngest child is two years old, therefore the maximum group size allowed by minimum standards is twenty (20) children. To reach compliance with this item, only twenty (20) children can be present in each group if the youngest child is two years old. We discussed the indoor space can be physically divided into two (2) separate spaces to divide the children into two (2) smaller groups. During the visit today, you rearranged the space to provide two (2) separate spaces for two (2) groups of children. The smaller space, space 1a, was measured during the visit today and can accommodate six (6) children at 25 square feet per children. The remainder of the classroom, space 1b, can accommodate the remaining twenty-four (24) children allowed per license capacity. The facility is licensed to serve thirty (30) children total. Please note, each space must have its own copy of a schedule, activity plan and staff/child ratio sheet. This is a six (6) point violation. A follow-up visit will be made to ensure compliance with group sizes. If the group size exceeds the maximum allowable amount per G.S. 110-91(7) and Child Care Rule .0713(a-e), a repeat violation will be cited. Back to back violations regarding group size may warrant an Administrative Action recommendation. Item #303: Staff must be able to see or hear children at all times for adequate supervision. Additionally staff must be able to render immediate assistance to children if needed. We discussed staff establishing routines for children and staff that ensure children are adequately supervised at all times. For example, establish the routine that children must stop at the doorway and wait for staff to open the door. This is a six (6) point violation. A follow-up visit must be made to ensure compliance with supervision. If supervision is not adequate during the return visit, a repeat violation will be cited. Back to back violations regarding supervision may warrant an Administrative Action recommendation. Item #862: To reach compliance with this item, plan to review the Emergency Medical Care Plan with all staff and have staff sign an acknowledgement that they have reviewed the plan with you. Item #1034 and #1035: The Emergency Information/ Health Questionnaire was completed by the Administrator during the visit today. This is corrected. Item #1048 and #1409: To reach compliance with these items, the staff must compete an approved CPR/First Aid training and the training certificate or another form of documentation that the staff member completed the training must be on file. Please note, back to back violations regarding CPR/First Aid Training may result and an Administrative Action. Item #1302: The parent completed the application and all accompanying paper work during the visit today. This is corrected. Moving forward, ensure all children have enrollment paperwork on file prior to the first day of attending the program. This requirement applies to staff’s school-aged children as well. Item #1317: To reach compliance with this item, the parents of the three (3) children must sign the authorization for emergency medical care. A copy of the Division’s child enrollment application was provided to you during the visit today. Plan to use this form for the enrollment application to ensure all required information is captured. In your letter of compliance, include a statement that indicates the authorization for emergency medical care was signed by the parent. Item #1805: To reach compliance with this item, all staff must be connected to your facility in the ABCMS Provider Portal. Click by click instructions were provided to you in the email containing this visit summary today. We discussed NCID login information is a barrier to reaching compliance. After staff go to ncabcms.nc.gov, they can click on “Trouble signing on?” and then click on “Forgot username”. Follow the prompts to retrieve the user name. Then, go back to ncabcms.nc.gov, click on “Trouble signing on” and then click on “Forgot password?”. Follow the prompts to reset the password. Once staff have their updated log in information for NCID, I highly recommend they write down this information and then take a picture of the information so that they have multiple copies. The NCID login is used for many DCDEE requirements and must be kept active to avoid further technological difficulties. If you need additional time to reach compliance with this item, you can request an extension in writing via email. In your extension request you must include: -the item number -the reason an extension is needed, in detail -the date the extension is needed to Item #1824: To reach compliance with this item, the Emergency Preparedness and Response plan must be updated in the risk management portal. Here is the link for the Risk Management Portal: https://rmp.nc.gov/portal/portal.aspx Additionally, here is the EPR Plan webpage from the Division’s website that includes contact information for support if needed: https://ncchildcare.ncdhhs.gov/Provider/Emergency-Preparedness-and-Response Achieving Compliance: A follow-up visit will be conducted to verify compliance of group size and supervision. 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 6/29/26. 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: The Annual Staff Evaluation and Staff Development plan for MC, MZ and SG is due by 6/26/26. The follow staff will be due to receive their new Criminal Background Check (CBC) qualification letters soon. I recommend they begin the process immediately to avoid delay: G. Fournier-Southern M. Zorn These staff can complete the process for a new CBC letter when they complete the connecting application in ABCMS. Approved Floor Plan: 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.” 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. 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. Staff MZ will be due to complete Health and Safety Training by August 2026. Staff HH will be due to complete Health and Safety Training by 11/19/26. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/15/2026 Number Present: 24 Completed Date: 6/15/2026 Age: From 2 To 6 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator/Owner, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 5/26/26. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 5/27/26. The last shelter-in-place drill was practiced on 3/12/26. The last playground inspection was documented on 5/27/26. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/20/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were exploring the outdoor learning environment. Children participated in a small group, teacher-led gardening lesson, swung on swings, and pretended to cook and eat food in an outdoor dramatic play center. Interactions were positive and nurturing. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 3/24/25. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were twenty-four (24) children present ages two to six years old. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While transitioning to the indoor environment from the outdoor environment, three (3) children entered the classroom unattended, as the teacher helped other children walk up the stairs to the entrance. The door closed behind the children who entered the classroom unattended, therefore the teacher could not see or hear the three (3) children for approximately thirty (30) seconds. .1801(a)(1-5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The Emergency Medical Care plan was reviewed with all staff on 6/25/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for the Administrator was last completed on 6/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information for the Administrator was last completed on 6/24/24. .0701(a) 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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25 .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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25. .1102(d) 1302 Individual applications were not on file for each child. The application for one (1) child was not on file. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for three (3) children did not include the authorization for emergency medical care. .0802(d) 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. Four (4) staff were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated on 7/2/24. .0607(e) Technical assistance was provided as follows: Item #106: To reach compliance with this item, the fire inspection must be completed and documented on the Division’s form and the form must be sent to me. The fire marshal was contacted during the visit today. The fire marshal sent the signed fire inspection form to me during the visit today. This is corrected. Item #301: The youngest child is two years old, therefore the maximum group size allowed by minimum standards is twenty (20) children. To reach compliance with this item, only twenty (20) children can be present in each group if the youngest child is two years old. We discussed the indoor space can be physically divided into two (2) separate spaces to divide the children into two (2) smaller groups. During the visit today, you rearranged the space to provide two (2) separate spaces for two (2) groups of children. The smaller space, space 1a, was measured during the visit today and can accommodate six (6) children at 25 square feet per children. The remainder of the classroom, space 1b, can accommodate the remaining twenty-four (24) children allowed per license capacity. The facility is licensed to serve thirty (30) children total. Please note, each space must have its own copy of a schedule, activity plan and staff/child ratio sheet. This is a six (6) point violation. A follow-up visit will be made to ensure compliance with group sizes. If the group size exceeds the maximum allowable amount per G.S. 110-91(7) and Child Care Rule .0713(a-e), a repeat violation will be cited. Back to back violations regarding group size may warrant an Administrative Action recommendation. Item #303: Staff must be able to see or hear children at all times for adequate supervision. Additionally staff must be able to render immediate assistance to children if needed. We discussed staff establishing routines for children and staff that ensure children are adequately supervised at all times. For example, establish the routine that children must stop at the doorway and wait for staff to open the door. This is a six (6) point violation. A follow-up visit must be made to ensure compliance with supervision. If supervision is not adequate during the return visit, a repeat violation will be cited. Back to back violations regarding supervision may warrant an Administrative Action recommendation. Item #862: To reach compliance with this item, plan to review the Emergency Medical Care Plan with all staff and have staff sign an acknowledgement that they have reviewed the plan with you. Item #1034 and #1035: The Emergency Information/ Health Questionnaire was completed by the Administrator during the visit today. This is corrected. Item #1048 and #1409: To reach compliance with these items, the staff must compete an approved CPR/First Aid training and the training certificate or another form of documentation that the staff member completed the training must be on file. Please note, back to back violations regarding CPR/First Aid Training may result and an Administrative Action. Item #1302: The parent completed the application and all accompanying paper work during the visit today. This is corrected. Moving forward, ensure all children have enrollment paperwork on file prior to the first day of attending the program. This requirement applies to staff’s school-aged children as well. Item #1317: To reach compliance with this item, the parents of the three (3) children must sign the authorization for emergency medical care. A copy of the Division’s child enrollment application was provided to you during the visit today. Plan to use this form for the enrollment application to ensure all required information is captured. In your letter of compliance, include a statement that indicates the authorization for emergency medical care was signed by the parent. Item #1805: To reach compliance with this item, all staff must be connected to your facility in the ABCMS Provider Portal. Click by click instructions were provided to you in the email containing this visit summary today. We discussed NCID login information is a barrier to reaching compliance. After staff go to ncabcms.nc.gov, they can click on “Trouble signing on?” and then click on “Forgot username”. Follow the prompts to retrieve the user name. Then, go back to ncabcms.nc.gov, click on “Trouble signing on” and then click on “Forgot password?”. Follow the prompts to reset the password. Once staff have their updated log in information for NCID, I highly recommend they write down this information and then take a picture of the information so that they have multiple copies. The NCID login is used for many DCDEE requirements and must be kept active to avoid further technological difficulties. If you need additional time to reach compliance with this item, you can request an extension in writing via email. In your extension request you must include: -the item number -the reason an extension is needed, in detail -the date the extension is needed to Item #1824: To reach compliance with this item, the Emergency Preparedness and Response plan must be updated in the risk management portal. Here is the link for the Risk Management Portal: https://rmp.nc.gov/portal/portal.aspx Additionally, here is the EPR Plan webpage from the Division’s website that includes contact information for support if needed: https://ncchildcare.ncdhhs.gov/Provider/Emergency-Preparedness-and-Response Achieving Compliance: A follow-up visit will be conducted to verify compliance of group size and supervision. 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 6/29/26. 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: The Annual Staff Evaluation and Staff Development plan for MC, MZ and SG is due by 6/26/26. The follow staff will be due to receive their new Criminal Background Check (CBC) qualification letters soon. I recommend they begin the process immediately to avoid delay: G. Fournier-Southern M. Zorn These staff can complete the process for a new CBC letter when they complete the connecting application in ABCMS. Approved Floor Plan: 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.” 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. 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. Staff MZ will be due to complete Health and Safety Training by August 2026. Staff HH will be due to complete Health and Safety Training by 11/19/26. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/15/2026 Number Present: 24 Completed Date: 6/15/2026 Age: From 2 To 6 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator/Owner, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 5/26/26. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 5/27/26. The last shelter-in-place drill was practiced on 3/12/26. The last playground inspection was documented on 5/27/26. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/20/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were exploring the outdoor learning environment. Children participated in a small group, teacher-led gardening lesson, swung on swings, and pretended to cook and eat food in an outdoor dramatic play center. Interactions were positive and nurturing. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 3/24/25. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were twenty-four (24) children present ages two to six years old. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While transitioning to the indoor environment from the outdoor environment, three (3) children entered the classroom unattended, as the teacher helped other children walk up the stairs to the entrance. The door closed behind the children who entered the classroom unattended, therefore the teacher could not see or hear the three (3) children for approximately thirty (30) seconds. .1801(a)(1-5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The Emergency Medical Care plan was reviewed with all staff on 6/25/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for the Administrator was last completed on 6/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information for the Administrator was last completed on 6/24/24. .0701(a) 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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25 .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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25. .1102(d) 1302 Individual applications were not on file for each child. The application for one (1) child was not on file. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for three (3) children did not include the authorization for emergency medical care. .0802(d) 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. Four (4) staff were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated on 7/2/24. .0607(e) Technical assistance was provided as follows: Item #106: To reach compliance with this item, the fire inspection must be completed and documented on the Division’s form and the form must be sent to me. The fire marshal was contacted during the visit today. The fire marshal sent the signed fire inspection form to me during the visit today. This is corrected. Item #301: The youngest child is two years old, therefore the maximum group size allowed by minimum standards is twenty (20) children. To reach compliance with this item, only twenty (20) children can be present in each group if the youngest child is two years old. We discussed the indoor space can be physically divided into two (2) separate spaces to divide the children into two (2) smaller groups. During the visit today, you rearranged the space to provide two (2) separate spaces for two (2) groups of children. The smaller space, space 1a, was measured during the visit today and can accommodate six (6) children at 25 square feet per children. The remainder of the classroom, space 1b, can accommodate the remaining twenty-four (24) children allowed per license capacity. The facility is licensed to serve thirty (30) children total. Please note, each space must have its own copy of a schedule, activity plan and staff/child ratio sheet. This is a six (6) point violation. A follow-up visit will be made to ensure compliance with group sizes. If the group size exceeds the maximum allowable amount per G.S. 110-91(7) and Child Care Rule .0713(a-e), a repeat violation will be cited. Back to back violations regarding group size may warrant an Administrative Action recommendation. Item #303: Staff must be able to see or hear children at all times for adequate supervision. Additionally staff must be able to render immediate assistance to children if needed. We discussed staff establishing routines for children and staff that ensure children are adequately supervised at all times. For example, establish the routine that children must stop at the doorway and wait for staff to open the door. This is a six (6) point violation. A follow-up visit must be made to ensure compliance with supervision. If supervision is not adequate during the return visit, a repeat violation will be cited. Back to back violations regarding supervision may warrant an Administrative Action recommendation. Item #862: To reach compliance with this item, plan to review the Emergency Medical Care Plan with all staff and have staff sign an acknowledgement that they have reviewed the plan with you. Item #1034 and #1035: The Emergency Information/ Health Questionnaire was completed by the Administrator during the visit today. This is corrected. Item #1048 and #1409: To reach compliance with these items, the staff must compete an approved CPR/First Aid training and the training certificate or another form of documentation that the staff member completed the training must be on file. Please note, back to back violations regarding CPR/First Aid Training may result and an Administrative Action. Item #1302: The parent completed the application and all accompanying paper work during the visit today. This is corrected. Moving forward, ensure all children have enrollment paperwork on file prior to the first day of attending the program. This requirement applies to staff’s school-aged children as well. Item #1317: To reach compliance with this item, the parents of the three (3) children must sign the authorization for emergency medical care. A copy of the Division’s child enrollment application was provided to you during the visit today. Plan to use this form for the enrollment application to ensure all required information is captured. In your letter of compliance, include a statement that indicates the authorization for emergency medical care was signed by the parent. Item #1805: To reach compliance with this item, all staff must be connected to your facility in the ABCMS Provider Portal. Click by click instructions were provided to you in the email containing this visit summary today. We discussed NCID login information is a barrier to reaching compliance. After staff go to ncabcms.nc.gov, they can click on “Trouble signing on?” and then click on “Forgot username”. Follow the prompts to retrieve the user name. Then, go back to ncabcms.nc.gov, click on “Trouble signing on” and then click on “Forgot password?”. Follow the prompts to reset the password. Once staff have their updated log in information for NCID, I highly recommend they write down this information and then take a picture of the information so that they have multiple copies. The NCID login is used for many DCDEE requirements and must be kept active to avoid further technological difficulties. If you need additional time to reach compliance with this item, you can request an extension in writing via email. In your extension request you must include: -the item number -the reason an extension is needed, in detail -the date the extension is needed to Item #1824: To reach compliance with this item, the Emergency Preparedness and Response plan must be updated in the risk management portal. Here is the link for the Risk Management Portal: https://rmp.nc.gov/portal/portal.aspx Additionally, here is the EPR Plan webpage from the Division’s website that includes contact information for support if needed: https://ncchildcare.ncdhhs.gov/Provider/Emergency-Preparedness-and-Response Achieving Compliance: A follow-up visit will be conducted to verify compliance of group size and supervision. 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 6/29/26. 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: The Annual Staff Evaluation and Staff Development plan for MC, MZ and SG is due by 6/26/26. The follow staff will be due to receive their new Criminal Background Check (CBC) qualification letters soon. I recommend they begin the process immediately to avoid delay: G. Fournier-Southern M. Zorn These staff can complete the process for a new CBC letter when they complete the connecting application in ABCMS. Approved Floor Plan: 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.” 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. 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. Staff MZ will be due to complete Health and Safety Training by August 2026. Staff HH will be due to complete Health and Safety Training by 11/19/26. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/15/2026 Number Present: 24 Completed Date: 6/15/2026 Age: From 2 To 6 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator/Owner, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 5/26/26. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 5/27/26. The last shelter-in-place drill was practiced on 3/12/26. The last playground inspection was documented on 5/27/26. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/20/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were exploring the outdoor learning environment. Children participated in a small group, teacher-led gardening lesson, swung on swings, and pretended to cook and eat food in an outdoor dramatic play center. Interactions were positive and nurturing. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 3/24/25. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were twenty-four (24) children present ages two to six years old. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While transitioning to the indoor environment from the outdoor environment, three (3) children entered the classroom unattended, as the teacher helped other children walk up the stairs to the entrance. The door closed behind the children who entered the classroom unattended, therefore the teacher could not see or hear the three (3) children for approximately thirty (30) seconds. .1801(a)(1-5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The Emergency Medical Care plan was reviewed with all staff on 6/25/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for the Administrator was last completed on 6/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information for the Administrator was last completed on 6/24/24. .0701(a) 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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25 .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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25. .1102(d) 1302 Individual applications were not on file for each child. The application for one (1) child was not on file. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for three (3) children did not include the authorization for emergency medical care. .0802(d) 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. Four (4) staff were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated on 7/2/24. .0607(e) Technical assistance was provided as follows: Item #106: To reach compliance with this item, the fire inspection must be completed and documented on the Division’s form and the form must be sent to me. The fire marshal was contacted during the visit today. The fire marshal sent the signed fire inspection form to me during the visit today. This is corrected. Item #301: The youngest child is two years old, therefore the maximum group size allowed by minimum standards is twenty (20) children. To reach compliance with this item, only twenty (20) children can be present in each group if the youngest child is two years old. We discussed the indoor space can be physically divided into two (2) separate spaces to divide the children into two (2) smaller groups. During the visit today, you rearranged the space to provide two (2) separate spaces for two (2) groups of children. The smaller space, space 1a, was measured during the visit today and can accommodate six (6) children at 25 square feet per children. The remainder of the classroom, space 1b, can accommodate the remaining twenty-four (24) children allowed per license capacity. The facility is licensed to serve thirty (30) children total. Please note, each space must have its own copy of a schedule, activity plan and staff/child ratio sheet. This is a six (6) point violation. A follow-up visit will be made to ensure compliance with group sizes. If the group size exceeds the maximum allowable amount per G.S. 110-91(7) and Child Care Rule .0713(a-e), a repeat violation will be cited. Back to back violations regarding group size may warrant an Administrative Action recommendation. Item #303: Staff must be able to see or hear children at all times for adequate supervision. Additionally staff must be able to render immediate assistance to children if needed. We discussed staff establishing routines for children and staff that ensure children are adequately supervised at all times. For example, establish the routine that children must stop at the doorway and wait for staff to open the door. This is a six (6) point violation. A follow-up visit must be made to ensure compliance with supervision. If supervision is not adequate during the return visit, a repeat violation will be cited. Back to back violations regarding supervision may warrant an Administrative Action recommendation. Item #862: To reach compliance with this item, plan to review the Emergency Medical Care Plan with all staff and have staff sign an acknowledgement that they have reviewed the plan with you. Item #1034 and #1035: The Emergency Information/ Health Questionnaire was completed by the Administrator during the visit today. This is corrected. Item #1048 and #1409: To reach compliance with these items, the staff must compete an approved CPR/First Aid training and the training certificate or another form of documentation that the staff member completed the training must be on file. Please note, back to back violations regarding CPR/First Aid Training may result and an Administrative Action. Item #1302: The parent completed the application and all accompanying paper work during the visit today. This is corrected. Moving forward, ensure all children have enrollment paperwork on file prior to the first day of attending the program. This requirement applies to staff’s school-aged children as well. Item #1317: To reach compliance with this item, the parents of the three (3) children must sign the authorization for emergency medical care. A copy of the Division’s child enrollment application was provided to you during the visit today. Plan to use this form for the enrollment application to ensure all required information is captured. In your letter of compliance, include a statement that indicates the authorization for emergency medical care was signed by the parent. Item #1805: To reach compliance with this item, all staff must be connected to your facility in the ABCMS Provider Portal. Click by click instructions were provided to you in the email containing this visit summary today. We discussed NCID login information is a barrier to reaching compliance. After staff go to ncabcms.nc.gov, they can click on “Trouble signing on?” and then click on “Forgot username”. Follow the prompts to retrieve the user name. Then, go back to ncabcms.nc.gov, click on “Trouble signing on” and then click on “Forgot password?”. Follow the prompts to reset the password. Once staff have their updated log in information for NCID, I highly recommend they write down this information and then take a picture of the information so that they have multiple copies. The NCID login is used for many DCDEE requirements and must be kept active to avoid further technological difficulties. If you need additional time to reach compliance with this item, you can request an extension in writing via email. In your extension request you must include: -the item number -the reason an extension is needed, in detail -the date the extension is needed to Item #1824: To reach compliance with this item, the Emergency Preparedness and Response plan must be updated in the risk management portal. Here is the link for the Risk Management Portal: https://rmp.nc.gov/portal/portal.aspx Additionally, here is the EPR Plan webpage from the Division’s website that includes contact information for support if needed: https://ncchildcare.ncdhhs.gov/Provider/Emergency-Preparedness-and-Response Achieving Compliance: A follow-up visit will be conducted to verify compliance of group size and supervision. 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 6/29/26. 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: The Annual Staff Evaluation and Staff Development plan for MC, MZ and SG is due by 6/26/26. The follow staff will be due to receive their new Criminal Background Check (CBC) qualification letters soon. I recommend they begin the process immediately to avoid delay: G. Fournier-Southern M. Zorn These staff can complete the process for a new CBC letter when they complete the connecting application in ABCMS. Approved Floor Plan: 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.” 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. 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. Staff MZ will be due to complete Health and Safety Training by August 2026. Staff HH will be due to complete Health and Safety Training by 11/19/26. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/15/2026 Number Present: 24 Completed Date: 6/15/2026 Age: From 2 To 6 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator/Owner, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 5/26/26. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 5/27/26. The last shelter-in-place drill was practiced on 3/12/26. The last playground inspection was documented on 5/27/26. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/20/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were exploring the outdoor learning environment. Children participated in a small group, teacher-led gardening lesson, swung on swings, and pretended to cook and eat food in an outdoor dramatic play center. Interactions were positive and nurturing. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 3/24/25. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were twenty-four (24) children present ages two to six years old. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While transitioning to the indoor environment from the outdoor environment, three (3) children entered the classroom unattended, as the teacher helped other children walk up the stairs to the entrance. The door closed behind the children who entered the classroom unattended, therefore the teacher could not see or hear the three (3) children for approximately thirty (30) seconds. .1801(a)(1-5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The Emergency Medical Care plan was reviewed with all staff on 6/25/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for the Administrator was last completed on 6/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information for the Administrator was last completed on 6/24/24. .0701(a) 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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25 .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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25. .1102(d) 1302 Individual applications were not on file for each child. The application for one (1) child was not on file. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for three (3) children did not include the authorization for emergency medical care. .0802(d) 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. Four (4) staff were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated on 7/2/24. .0607(e) Technical assistance was provided as follows: Item #106: To reach compliance with this item, the fire inspection must be completed and documented on the Division’s form and the form must be sent to me. The fire marshal was contacted during the visit today. The fire marshal sent the signed fire inspection form to me during the visit today. This is corrected. Item #301: The youngest child is two years old, therefore the maximum group size allowed by minimum standards is twenty (20) children. To reach compliance with this item, only twenty (20) children can be present in each group if the youngest child is two years old. We discussed the indoor space can be physically divided into two (2) separate spaces to divide the children into two (2) smaller groups. During the visit today, you rearranged the space to provide two (2) separate spaces for two (2) groups of children. The smaller space, space 1a, was measured during the visit today and can accommodate six (6) children at 25 square feet per children. The remainder of the classroom, space 1b, can accommodate the remaining twenty-four (24) children allowed per license capacity. The facility is licensed to serve thirty (30) children total. Please note, each space must have its own copy of a schedule, activity plan and staff/child ratio sheet. This is a six (6) point violation. A follow-up visit will be made to ensure compliance with group sizes. If the group size exceeds the maximum allowable amount per G.S. 110-91(7) and Child Care Rule .0713(a-e), a repeat violation will be cited. Back to back violations regarding group size may warrant an Administrative Action recommendation. Item #303: Staff must be able to see or hear children at all times for adequate supervision. Additionally staff must be able to render immediate assistance to children if needed. We discussed staff establishing routines for children and staff that ensure children are adequately supervised at all times. For example, establish the routine that children must stop at the doorway and wait for staff to open the door. This is a six (6) point violation. A follow-up visit must be made to ensure compliance with supervision. If supervision is not adequate during the return visit, a repeat violation will be cited. Back to back violations regarding supervision may warrant an Administrative Action recommendation. Item #862: To reach compliance with this item, plan to review the Emergency Medical Care Plan with all staff and have staff sign an acknowledgement that they have reviewed the plan with you. Item #1034 and #1035: The Emergency Information/ Health Questionnaire was completed by the Administrator during the visit today. This is corrected. Item #1048 and #1409: To reach compliance with these items, the staff must compete an approved CPR/First Aid training and the training certificate or another form of documentation that the staff member completed the training must be on file. Please note, back to back violations regarding CPR/First Aid Training may result and an Administrative Action. Item #1302: The parent completed the application and all accompanying paper work during the visit today. This is corrected. Moving forward, ensure all children have enrollment paperwork on file prior to the first day of attending the program. This requirement applies to staff’s school-aged children as well. Item #1317: To reach compliance with this item, the parents of the three (3) children must sign the authorization for emergency medical care. A copy of the Division’s child enrollment application was provided to you during the visit today. Plan to use this form for the enrollment application to ensure all required information is captured. In your letter of compliance, include a statement that indicates the authorization for emergency medical care was signed by the parent. Item #1805: To reach compliance with this item, all staff must be connected to your facility in the ABCMS Provider Portal. Click by click instructions were provided to you in the email containing this visit summary today. We discussed NCID login information is a barrier to reaching compliance. After staff go to ncabcms.nc.gov, they can click on “Trouble signing on?” and then click on “Forgot username”. Follow the prompts to retrieve the user name. Then, go back to ncabcms.nc.gov, click on “Trouble signing on” and then click on “Forgot password?”. Follow the prompts to reset the password. Once staff have their updated log in information for NCID, I highly recommend they write down this information and then take a picture of the information so that they have multiple copies. The NCID login is used for many DCDEE requirements and must be kept active to avoid further technological difficulties. If you need additional time to reach compliance with this item, you can request an extension in writing via email. In your extension request you must include: -the item number -the reason an extension is needed, in detail -the date the extension is needed to Item #1824: To reach compliance with this item, the Emergency Preparedness and Response plan must be updated in the risk management portal. Here is the link for the Risk Management Portal: https://rmp.nc.gov/portal/portal.aspx Additionally, here is the EPR Plan webpage from the Division’s website that includes contact information for support if needed: https://ncchildcare.ncdhhs.gov/Provider/Emergency-Preparedness-and-Response Achieving Compliance: A follow-up visit will be conducted to verify compliance of group size and supervision. 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 6/29/26. 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: The Annual Staff Evaluation and Staff Development plan for MC, MZ and SG is due by 6/26/26. The follow staff will be due to receive their new Criminal Background Check (CBC) qualification letters soon. I recommend they begin the process immediately to avoid delay: G. Fournier-Southern M. Zorn These staff can complete the process for a new CBC letter when they complete the connecting application in ABCMS. Approved Floor Plan: 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.” 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. 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. Staff MZ will be due to complete Health and Safety Training by August 2026. Staff HH will be due to complete Health and Safety Training by 11/19/26. 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

GS 110-91 · Violation

Name of Operation: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/15/2026 Number Present: 24 Completed Date: 6/15/2026 Age: From 2 To 6 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator/Owner, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 5/26/26. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 5/27/26. The last shelter-in-place drill was practiced on 3/12/26. The last playground inspection was documented on 5/27/26. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/20/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were exploring the outdoor learning environment. Children participated in a small group, teacher-led gardening lesson, swung on swings, and pretended to cook and eat food in an outdoor dramatic play center. Interactions were positive and nurturing. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 3/24/25. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were twenty-four (24) children present ages two to six years old. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While transitioning to the indoor environment from the outdoor environment, three (3) children entered the classroom unattended, as the teacher helped other children walk up the stairs to the entrance. The door closed behind the children who entered the classroom unattended, therefore the teacher could not see or hear the three (3) children for approximately thirty (30) seconds. .1801(a)(1-5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The Emergency Medical Care plan was reviewed with all staff on 6/25/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for the Administrator was last completed on 6/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information for the Administrator was last completed on 6/24/24. .0701(a) 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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25 .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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25. .1102(d) 1302 Individual applications were not on file for each child. The application for one (1) child was not on file. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for three (3) children did not include the authorization for emergency medical care. .0802(d) 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. Four (4) staff were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated on 7/2/24. .0607(e) Technical assistance was provided as follows: Item #106: To reach compliance with this item, the fire inspection must be completed and documented on the Division’s form and the form must be sent to me. The fire marshal was contacted during the visit today. The fire marshal sent the signed fire inspection form to me during the visit today. This is corrected. Item #301: The youngest child is two years old, therefore the maximum group size allowed by minimum standards is twenty (20) children. To reach compliance with this item, only twenty (20) children can be present in each group if the youngest child is two years old. We discussed the indoor space can be physically divided into two (2) separate spaces to divide the children into two (2) smaller groups. During the visit today, you rearranged the space to provide two (2) separate spaces for two (2) groups of children. The smaller space, space 1a, was measured during the visit today and can accommodate six (6) children at 25 square feet per children. The remainder of the classroom, space 1b, can accommodate the remaining twenty-four (24) children allowed per license capacity. The facility is licensed to serve thirty (30) children total. Please note, each space must have its own copy of a schedule, activity plan and staff/child ratio sheet. This is a six (6) point violation. A follow-up visit will be made to ensure compliance with group sizes. If the group size exceeds the maximum allowable amount per G.S. 110-91(7) and Child Care Rule .0713(a-e), a repeat violation will be cited. Back to back violations regarding group size may warrant an Administrative Action recommendation. Item #303: Staff must be able to see or hear children at all times for adequate supervision. Additionally staff must be able to render immediate assistance to children if needed. We discussed staff establishing routines for children and staff that ensure children are adequately supervised at all times. For example, establish the routine that children must stop at the doorway and wait for staff to open the door. This is a six (6) point violation. A follow-up visit must be made to ensure compliance with supervision. If supervision is not adequate during the return visit, a repeat violation will be cited. Back to back violations regarding supervision may warrant an Administrative Action recommendation. Item #862: To reach compliance with this item, plan to review the Emergency Medical Care Plan with all staff and have staff sign an acknowledgement that they have reviewed the plan with you. Item #1034 and #1035: The Emergency Information/ Health Questionnaire was completed by the Administrator during the visit today. This is corrected. Item #1048 and #1409: To reach compliance with these items, the staff must compete an approved CPR/First Aid training and the training certificate or another form of documentation that the staff member completed the training must be on file. Please note, back to back violations regarding CPR/First Aid Training may result and an Administrative Action. Item #1302: The parent completed the application and all accompanying paper work during the visit today. This is corrected. Moving forward, ensure all children have enrollment paperwork on file prior to the first day of attending the program. This requirement applies to staff’s school-aged children as well. Item #1317: To reach compliance with this item, the parents of the three (3) children must sign the authorization for emergency medical care. A copy of the Division’s child enrollment application was provided to you during the visit today. Plan to use this form for the enrollment application to ensure all required information is captured. In your letter of compliance, include a statement that indicates the authorization for emergency medical care was signed by the parent. Item #1805: To reach compliance with this item, all staff must be connected to your facility in the ABCMS Provider Portal. Click by click instructions were provided to you in the email containing this visit summary today. We discussed NCID login information is a barrier to reaching compliance. After staff go to ncabcms.nc.gov, they can click on “Trouble signing on?” and then click on “Forgot username”. Follow the prompts to retrieve the user name. Then, go back to ncabcms.nc.gov, click on “Trouble signing on” and then click on “Forgot password?”. Follow the prompts to reset the password. Once staff have their updated log in information for NCID, I highly recommend they write down this information and then take a picture of the information so that they have multiple copies. The NCID login is used for many DCDEE requirements and must be kept active to avoid further technological difficulties. If you need additional time to reach compliance with this item, you can request an extension in writing via email. In your extension request you must include: -the item number -the reason an extension is needed, in detail -the date the extension is needed to Item #1824: To reach compliance with this item, the Emergency Preparedness and Response plan must be updated in the risk management portal. Here is the link for the Risk Management Portal: https://rmp.nc.gov/portal/portal.aspx Additionally, here is the EPR Plan webpage from the Division’s website that includes contact information for support if needed: https://ncchildcare.ncdhhs.gov/Provider/Emergency-Preparedness-and-Response Achieving Compliance: A follow-up visit will be conducted to verify compliance of group size and supervision. 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 6/29/26. 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: The Annual Staff Evaluation and Staff Development plan for MC, MZ and SG is due by 6/26/26. The follow staff will be due to receive their new Criminal Background Check (CBC) qualification letters soon. I recommend they begin the process immediately to avoid delay: G. Fournier-Southern M. Zorn These staff can complete the process for a new CBC letter when they complete the connecting application in ABCMS. Approved Floor Plan: 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.” 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. 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. Staff MZ will be due to complete Health and Safety Training by August 2026. Staff HH will be due to complete Health and Safety Training by 11/19/26. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/15/2026 Number Present: 24 Completed Date: 6/15/2026 Age: From 2 To 6 Total Minutes: 315 Time In: 09:30 AM Time Out: 02:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator/Owner, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 5/26/26. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 5/27/26. The last shelter-in-place drill was practiced on 3/12/26. The last playground inspection was documented on 5/27/26. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/20/26 with thirteen (13) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were exploring the outdoor learning environment. Children participated in a small group, teacher-led gardening lesson, swung on swings, and pretended to cook and eat food in an outdoor dramatic play center. Interactions were positive and nurturing. 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 106 Operator has not scheduled and obtained a fire inspection within 12 months of the previous inspection. Operator did not submit the original approved report to DCDEE within one week of the inspection visit on a form provided by the Division. The last fire inspection was conducted on 3/24/25. 10A NCAC 09 .0304(a) 301 Minimum staff/child ratios and group sizes for the number and ages of children in care were not met. There were twenty-four (24) children present ages two to six years old. GS 110-91(7);.0713(a-d) 303 Children were not adequately supervised at all times. While transitioning to the indoor environment from the outdoor environment, three (3) children entered the classroom unattended, as the teacher helped other children walk up the stairs to the entrance. The door closed behind the children who entered the classroom unattended, therefore the teacher could not see or hear the three (3) children for approximately thirty (30) seconds. .1801(a)(1-5) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The Emergency Medical Care plan was reviewed with all staff on 6/25/24. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. The Health Questionnaire for the Administrator was last completed on 6/24/24. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. The Emergency Information for the Administrator was last completed on 6/24/24. .0701(a) 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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25 .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 certificate for one (1) staff, hire date 10/4/23, expired on 11/11/25. .1102(d) 1302 Individual applications were not on file for each child. The application for one (1) child was not on file. 10A NCAC 09 .0801(a) 1317 Authorization for emergency medical care information was not signed by child's parent. The application for three (3) children did not include the authorization for emergency medical care. .0802(d) 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. Four (4) staff were not connected to the facility in the ABCMS Provider Portal. G.S. 110-90.2 & .2703(r) 1824 The trained staff did not review the EPR Plan annually or when information in the plan changed to ensure all information was current. The Emergency Preparedness and Response plan was last updated on 7/2/24. .0607(e) Technical assistance was provided as follows: Item #106: To reach compliance with this item, the fire inspection must be completed and documented on the Division’s form and the form must be sent to me. The fire marshal was contacted during the visit today. The fire marshal sent the signed fire inspection form to me during the visit today. This is corrected. Item #301: The youngest child is two years old, therefore the maximum group size allowed by minimum standards is twenty (20) children. To reach compliance with this item, only twenty (20) children can be present in each group if the youngest child is two years old. We discussed the indoor space can be physically divided into two (2) separate spaces to divide the children into two (2) smaller groups. During the visit today, you rearranged the space to provide two (2) separate spaces for two (2) groups of children. The smaller space, space 1a, was measured during the visit today and can accommodate six (6) children at 25 square feet per children. The remainder of the classroom, space 1b, can accommodate the remaining twenty-four (24) children allowed per license capacity. The facility is licensed to serve thirty (30) children total. Please note, each space must have its own copy of a schedule, activity plan and staff/child ratio sheet. This is a six (6) point violation. A follow-up visit will be made to ensure compliance with group sizes. If the group size exceeds the maximum allowable amount per G.S. 110-91(7) and Child Care Rule .0713(a-e), a repeat violation will be cited. Back to back violations regarding group size may warrant an Administrative Action recommendation. Item #303: Staff must be able to see or hear children at all times for adequate supervision. Additionally staff must be able to render immediate assistance to children if needed. We discussed staff establishing routines for children and staff that ensure children are adequately supervised at all times. For example, establish the routine that children must stop at the doorway and wait for staff to open the door. This is a six (6) point violation. A follow-up visit must be made to ensure compliance with supervision. If supervision is not adequate during the return visit, a repeat violation will be cited. Back to back violations regarding supervision may warrant an Administrative Action recommendation. Item #862: To reach compliance with this item, plan to review the Emergency Medical Care Plan with all staff and have staff sign an acknowledgement that they have reviewed the plan with you. Item #1034 and #1035: The Emergency Information/ Health Questionnaire was completed by the Administrator during the visit today. This is corrected. Item #1048 and #1409: To reach compliance with these items, the staff must compete an approved CPR/First Aid training and the training certificate or another form of documentation that the staff member completed the training must be on file. Please note, back to back violations regarding CPR/First Aid Training may result and an Administrative Action. Item #1302: The parent completed the application and all accompanying paper work during the visit today. This is corrected. Moving forward, ensure all children have enrollment paperwork on file prior to the first day of attending the program. This requirement applies to staff’s school-aged children as well. Item #1317: To reach compliance with this item, the parents of the three (3) children must sign the authorization for emergency medical care. A copy of the Division’s child enrollment application was provided to you during the visit today. Plan to use this form for the enrollment application to ensure all required information is captured. In your letter of compliance, include a statement that indicates the authorization for emergency medical care was signed by the parent. Item #1805: To reach compliance with this item, all staff must be connected to your facility in the ABCMS Provider Portal. Click by click instructions were provided to you in the email containing this visit summary today. We discussed NCID login information is a barrier to reaching compliance. After staff go to ncabcms.nc.gov, they can click on “Trouble signing on?” and then click on “Forgot username”. Follow the prompts to retrieve the user name. Then, go back to ncabcms.nc.gov, click on “Trouble signing on” and then click on “Forgot password?”. Follow the prompts to reset the password. Once staff have their updated log in information for NCID, I highly recommend they write down this information and then take a picture of the information so that they have multiple copies. The NCID login is used for many DCDEE requirements and must be kept active to avoid further technological difficulties. If you need additional time to reach compliance with this item, you can request an extension in writing via email. In your extension request you must include: -the item number -the reason an extension is needed, in detail -the date the extension is needed to Item #1824: To reach compliance with this item, the Emergency Preparedness and Response plan must be updated in the risk management portal. Here is the link for the Risk Management Portal: https://rmp.nc.gov/portal/portal.aspx Additionally, here is the EPR Plan webpage from the Division’s website that includes contact information for support if needed: https://ncchildcare.ncdhhs.gov/Provider/Emergency-Preparedness-and-Response Achieving Compliance: A follow-up visit will be conducted to verify compliance of group size and supervision. 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 6/29/26. 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: The Annual Staff Evaluation and Staff Development plan for MC, MZ and SG is due by 6/26/26. The follow staff will be due to receive their new Criminal Background Check (CBC) qualification letters soon. I recommend they begin the process immediately to avoid delay: G. Fournier-Southern M. Zorn These staff can complete the process for a new CBC letter when they complete the connecting application in ABCMS. Approved Floor Plan: 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.” 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. 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. Staff MZ will be due to complete Health and Safety Training by August 2026. Staff HH will be due to complete Health and Safety Training by 11/19/26. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 18 Completed Date: 1/7/2026 Age: From 2 To 5 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 12/30/25. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 12/15/25. The last shelter-in-place drill was practiced on 12/16/25. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/22/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were observed exploring the outdoor environment, swinging on swings, running and engaging in pretend play in the playhouses. Children then transitioned to the indoor environment, changed shoes, washed hands and transitioned to a large group meeting. During the large group meeting, children sang songs, counted days on a calendar, listened to a story and engaged in a discussion about fire safety. 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 843 A drug or medicine was administered after its expiration date. Zyrtec that expired 10/2024, was administered to a child on 11/13/25. 10A NCAC 09 .0803(1)(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 8/28/25 .0605(q) 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. No staff were connected to the facility in the ABCMS portal. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #843: To reach compliance with this item, have a parent send in a new bottle of Zyrtec. Plan to have the parent update the Medication Administration Permission form for the new medication. A copy of this form was given to you today and can also be found on the Division’s website under Provider tab>Provider documents and forms. In your letter of compliance, include a statement that indicates the new medication has been provided to you with the updated permission form. Item #859: Playground inspections must be completed monthly. A helpful way to remember this is to conduct the inspection on the same day as your monthly fire drill. In your letter of compliance, include a statement that indicates how this requirement will be met, moving forward. Item #1805: ABCMS Provider Portal: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You will need the login information for your Business NCID as well as your individual (Personal NCID). If you have difficulty finding your Business NCID and Individual NCID, please visit https://it.nc.gov/support/accounts/myncid for support. Here are the steps to complete this task: Step 1: Take the training in Moodle: -Go to https://www.dcdee.moodle.nc.gov/ -click the login button on the top left corner and enter your BUSINESS NCID -scroll down to the bottom of the page until you see the small search bar -type in “abcms” and search -the training “ABCMS Child Care Provider Portal Training” should come up. Click “enroll me” and begin the training. It is only about 15 minutes long. -Administrators will complete the Powerform at the end of the training to gain access to the portal. Step 2: Complete steps for verification of business NCID in ABCMS a. Enter ncabcms.nc.gov in a web browser and click enter (Do not click on links for suggested sites.) b. This will bring you to the page titled NC ABCMS Links c. Click inside the box labeled “Child Care Provider Portal” d. Click the blue “Log into ABCMS” button e. Enter the business NCID username and password f. You will receive a message that you are Unauthorized. THAT IS EXPECTED. g. The NCID will be verified and then access can be granted by CBC staff Step 3: Log into the Provider Portal: Log into the ABCMS Provider Portal a. Enter ncabcms.nc.gov in a web browser and click enter (Do not click links for suggested sites) b. This will bring you to the page titled NC ABCMS Links c. Click inside the box labeled “Child Care Provider Portal” d. Click the blue “Log into ABCMS” button e. Enter the business NCID username and password. You are now in the Provider Portal. Step 4: Locate provider code: From the Provider Portal Home Page a. Scroll to the bottom of the page and click on the facility name. b. This will bring up the Profile Page. c. Follow down the left column to locate Code for Payment by Applicant and/or Code for Payment by Provider d. Write down the preferred code. (See the “Access Codes” link in the Important Messages section of the Home page for instructions on printing codes.) e. Click Logout in the top right corner of the page. Step 5: Staff to Complete Connecting Application 1. Individual NCID – make sure the applicant has an active individual NCID username and password. The NCID type can be verified by logging into https://myNCID.nc.gov - scroll to the very bottom of the profile page. Check user type—must have the letter “I” indicating it is an individual registration. 2. Photo ID – make sure the applicant has a file available on the device (scanned to pdf or picture) that can be uploaded into ABCMS 3. Applicant logs into the ABCMS Applicant Site a. Enter ncabcms.nc.gov in a web browser and click enter (Do not click links for suggested sites) b. This will bring you to the page titled NC ABCMS Links. c. Click inside the box labeled “Child Care Background Check” d. Click at the bottom of the page on “Click here to Continue” e. Click the gray “Log into ABCMS” button f. Enter the individual NCID username and password. [If this is the first time using this NCID username to log into ABCMS the Applicant Search will appear. Enter the SSN and DOB. BE SURE THIS INFORMATION IS ENTERED CORRECTLY. Click Search] Applicant is on their profile page and should see their current qualification status. ***If the applicant does not see their current qualification, STOP and CALL the CBC Unit Help Desk 919-814-6401.*** Create Application a. Click Create Application **If the applicant does not see this button, STOP and CALL the CBC Unit Help Desk at 919-814-6401.** b. Enter the Provider Code and click Search – Facility name will appear on the right side of the screen c. Click Continue Application e. Click the ADD APPLICATION button. **Do not click ADD NEW APPLICATION if staff has current letter.** If this box does not appear, and you know the applicant has a current qualification letter, STOP and CALL the CBC Unit Help Desk at 919-814- 6401. DO NOT START MULTIPLE APPLICATIONS f. Profile – enter demographic information g. Verify Identity Choose type of document to be uploaded Click upload Choose file; enter name of document (license, photo ID, passport) Click upload – you will see file has been uploaded – upload button WILL NOT disappear – Click Next h. Current Address Enter the Month and Year you became a RESIDENT of NC (NOT the date you began living at this address. If you were born here and never lived out of state, this will be the month and year you were born here) i. Mailing Address j. Prior Addresses – enter these only if you have been living outside of NC in the previous 5 years. Must include all years from the Month/Year entered on the Current Address page. k. Prior Names l. Release of Information – check box at the top of the page m. Results of Registry Information n. Payment Page (if using the Pay by Applicant Code) Total should show $0. Click Next o. Review Application Summary and click box to verify information is correct. Click Finish to submit application. Step 6: Create Roster by “Hiring” Staff 1. Log into the ABCMS Provider Portal a. Enter ncabcms.nc.gov in a web browser and click enter. (Do not click links for suggested sites) b. This will bring you to the page titled NC ABCMS Links. c. Click inside the box labeled “Child Care Provider Portal” d. Click the blue “Log into ABCMS” button e. Enter the business NCID username and password. 2. Click on the blue number on the Determination Available line in the At A Glance table 3. Staff names will appear in Results. 4. Click the blue Hire button and complete the required fields in the dialog box. **Note: hire date CANNOT be prior to the date of the qualification letter. If you cannot enter the exact hire date, enter the date of the qualification letter.** 5. The name will disappear. Complete for each staff member. Confirm Roster a. Staff Tab Roster b. Click in the Provider field – begin entering facility name – click when it pops up to enter it in the field. c. Click the blue Search button d. Roster is displayed below. This page can be printed or exported. Plan to connect at least one (1) staff in order to reach compliance. I recommend starting with yourself, so that you can help other staff with the process. You can also contact Buncombe Partnership for Children for support with reaching compliance for this item: 828-285-9333 https://form.asana.com/?k=wvlp2RcFMsLPvnjXr6ChMQ&d=1200131910162645 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 1/21/26. 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 19431 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: Staff HH must complete Recognizing and Responding to Suspicions of Child Maltreatment training by 2/17/25. You can find this training here: https://pcanc.quest4data.com/courses 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 18 Completed Date: 1/7/2026 Age: From 2 To 5 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 12/30/25. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 12/15/25. The last shelter-in-place drill was practiced on 12/16/25. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/22/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were observed exploring the outdoor environment, swinging on swings, running and engaging in pretend play in the playhouses. Children then transitioned to the indoor environment, changed shoes, washed hands and transitioned to a large group meeting. During the large group meeting, children sang songs, counted days on a calendar, listened to a story and engaged in a discussion about fire safety. 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 843 A drug or medicine was administered after its expiration date. Zyrtec that expired 10/2024, was administered to a child on 11/13/25. 10A NCAC 09 .0803(1)(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 8/28/25 .0605(q) 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. No staff were connected to the facility in the ABCMS portal. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #843: To reach compliance with this item, have a parent send in a new bottle of Zyrtec. Plan to have the parent update the Medication Administration Permission form for the new medication. A copy of this form was given to you today and can also be found on the Division’s website under Provider tab>Provider documents and forms. In your letter of compliance, include a statement that indicates the new medication has been provided to you with the updated permission form. Item #859: Playground inspections must be completed monthly. A helpful way to remember this is to conduct the inspection on the same day as your monthly fire drill. In your letter of compliance, include a statement that indicates how this requirement will be met, moving forward. Item #1805: ABCMS Provider Portal: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You will need the login information for your Business NCID as well as your individual (Personal NCID). If you have difficulty finding your Business NCID and Individual NCID, please visit https://it.nc.gov/support/accounts/myncid for support. Here are the steps to complete this task: Step 1: Take the training in Moodle: -Go to https://www.dcdee.moodle.nc.gov/ -click the login button on the top left corner and enter your BUSINESS NCID -scroll down to the bottom of the page until you see the small search bar -type in “abcms” and search -the training “ABCMS Child Care Provider Portal Training” should come up. Click “enroll me” and begin the training. It is only about 15 minutes long. -Administrators will complete the Powerform at the end of the training to gain access to the portal. Step 2: Complete steps for verification of business NCID in ABCMS a. Enter ncabcms.nc.gov in a web browser and click enter (Do not click on links for suggested sites.) b. This will bring you to the page titled NC ABCMS Links c. Click inside the box labeled “Child Care Provider Portal” d. Click the blue “Log into ABCMS” button e. Enter the business NCID username and password f. You will receive a message that you are Unauthorized. THAT IS EXPECTED. g. The NCID will be verified and then access can be granted by CBC staff Step 3: Log into the Provider Portal: Log into the ABCMS Provider Portal a. Enter ncabcms.nc.gov in a web browser and click enter (Do not click links for suggested sites) b. This will bring you to the page titled NC ABCMS Links c. Click inside the box labeled “Child Care Provider Portal” d. Click the blue “Log into ABCMS” button e. Enter the business NCID username and password. You are now in the Provider Portal. Step 4: Locate provider code: From the Provider Portal Home Page a. Scroll to the bottom of the page and click on the facility name. b. This will bring up the Profile Page. c. Follow down the left column to locate Code for Payment by Applicant and/or Code for Payment by Provider d. Write down the preferred code. (See the “Access Codes” link in the Important Messages section of the Home page for instructions on printing codes.) e. Click Logout in the top right corner of the page. Step 5: Staff to Complete Connecting Application 1. Individual NCID – make sure the applicant has an active individual NCID username and password. The NCID type can be verified by logging into https://myNCID.nc.gov - scroll to the very bottom of the profile page. Check user type—must have the letter “I” indicating it is an individual registration. 2. Photo ID – make sure the applicant has a file available on the device (scanned to pdf or picture) that can be uploaded into ABCMS 3. Applicant logs into the ABCMS Applicant Site a. Enter ncabcms.nc.gov in a web browser and click enter (Do not click links for suggested sites) b. This will bring you to the page titled NC ABCMS Links. c. Click inside the box labeled “Child Care Background Check” d. Click at the bottom of the page on “Click here to Continue” e. Click the gray “Log into ABCMS” button f. Enter the individual NCID username and password. [If this is the first time using this NCID username to log into ABCMS the Applicant Search will appear. Enter the SSN and DOB. BE SURE THIS INFORMATION IS ENTERED CORRECTLY. Click Search] Applicant is on their profile page and should see their current qualification status. ***If the applicant does not see their current qualification, STOP and CALL the CBC Unit Help Desk 919-814-6401.*** Create Application a. Click Create Application **If the applicant does not see this button, STOP and CALL the CBC Unit Help Desk at 919-814-6401.** b. Enter the Provider Code and click Search – Facility name will appear on the right side of the screen c. Click Continue Application e. Click the ADD APPLICATION button. **Do not click ADD NEW APPLICATION if staff has current letter.** If this box does not appear, and you know the applicant has a current qualification letter, STOP and CALL the CBC Unit Help Desk at 919-814- 6401. DO NOT START MULTIPLE APPLICATIONS f. Profile – enter demographic information g. Verify Identity Choose type of document to be uploaded Click upload Choose file; enter name of document (license, photo ID, passport) Click upload – you will see file has been uploaded – upload button WILL NOT disappear – Click Next h. Current Address Enter the Month and Year you became a RESIDENT of NC (NOT the date you began living at this address. If you were born here and never lived out of state, this will be the month and year you were born here) i. Mailing Address j. Prior Addresses – enter these only if you have been living outside of NC in the previous 5 years. Must include all years from the Month/Year entered on the Current Address page. k. Prior Names l. Release of Information – check box at the top of the page m. Results of Registry Information n. Payment Page (if using the Pay by Applicant Code) Total should show $0. Click Next o. Review Application Summary and click box to verify information is correct. Click Finish to submit application. Step 6: Create Roster by “Hiring” Staff 1. Log into the ABCMS Provider Portal a. Enter ncabcms.nc.gov in a web browser and click enter. (Do not click links for suggested sites) b. This will bring you to the page titled NC ABCMS Links. c. Click inside the box labeled “Child Care Provider Portal” d. Click the blue “Log into ABCMS” button e. Enter the business NCID username and password. 2. Click on the blue number on the Determination Available line in the At A Glance table 3. Staff names will appear in Results. 4. Click the blue Hire button and complete the required fields in the dialog box. **Note: hire date CANNOT be prior to the date of the qualification letter. If you cannot enter the exact hire date, enter the date of the qualification letter.** 5. The name will disappear. Complete for each staff member. Confirm Roster a. Staff Tab Roster b. Click in the Provider field – begin entering facility name – click when it pops up to enter it in the field. c. Click the blue Search button d. Roster is displayed below. This page can be printed or exported. Plan to connect at least one (1) staff in order to reach compliance. I recommend starting with yourself, so that you can help other staff with the process. You can also contact Buncombe Partnership for Children for support with reaching compliance for this item: 828-285-9333 https://form.asana.com/?k=wvlp2RcFMsLPvnjXr6ChMQ&d=1200131910162645 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 1/21/26. 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 19431 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: Staff HH must complete Recognizing and Responding to Suspicions of Child Maltreatment training by 2/17/25. You can find this training here: https://pcanc.quest4data.com/courses 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/7/2026 Number Present: 18 Completed Date: 1/7/2026 Age: From 2 To 5 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-seven percent (97%) as of 12/30/25. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/18/25. The last fire drill was practiced on 12/15/25. The last shelter-in-place drill was practiced on 12/16/25. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/22/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. Upon arrival, I was greeted by Ms. Fournier-Southern. Children were observed exploring the outdoor environment, swinging on swings, running and engaging in pretend play in the playhouses. Children then transitioned to the indoor environment, changed shoes, washed hands and transitioned to a large group meeting. During the large group meeting, children sang songs, counted days on a calendar, listened to a story and engaged in a discussion about fire safety. 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 843 A drug or medicine was administered after its expiration date. Zyrtec that expired 10/2024, was administered to a child on 11/13/25. 10A NCAC 09 .0803(1)(d) 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 8/28/25 .0605(q) 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. No staff were connected to the facility in the ABCMS portal. G.S. 110-90.2 & .2703(r) Technical assistance was provided as follows: Item #843: To reach compliance with this item, have a parent send in a new bottle of Zyrtec. Plan to have the parent update the Medication Administration Permission form for the new medication. A copy of this form was given to you today and can also be found on the Division’s website under Provider tab>Provider documents and forms. In your letter of compliance, include a statement that indicates the new medication has been provided to you with the updated permission form. Item #859: Playground inspections must be completed monthly. A helpful way to remember this is to conduct the inspection on the same day as your monthly fire drill. In your letter of compliance, include a statement that indicates how this requirement will be met, moving forward. Item #1805: ABCMS Provider Portal: The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. You will need the login information for your Business NCID as well as your individual (Personal NCID). If you have difficulty finding your Business NCID and Individual NCID, please visit https://it.nc.gov/support/accounts/myncid for support. Here are the steps to complete this task: Step 1: Take the training in Moodle: -Go to https://www.dcdee.moodle.nc.gov/ -click the login button on the top left corner and enter your BUSINESS NCID -scroll down to the bottom of the page until you see the small search bar -type in “abcms” and search -the training “ABCMS Child Care Provider Portal Training” should come up. Click “enroll me” and begin the training. It is only about 15 minutes long. -Administrators will complete the Powerform at the end of the training to gain access to the portal. Step 2: Complete steps for verification of business NCID in ABCMS a. Enter ncabcms.nc.gov in a web browser and click enter (Do not click on links for suggested sites.) b. This will bring you to the page titled NC ABCMS Links c. Click inside the box labeled “Child Care Provider Portal” d. Click the blue “Log into ABCMS” button e. Enter the business NCID username and password f. You will receive a message that you are Unauthorized. THAT IS EXPECTED. g. The NCID will be verified and then access can be granted by CBC staff Step 3: Log into the Provider Portal: Log into the ABCMS Provider Portal a. Enter ncabcms.nc.gov in a web browser and click enter (Do not click links for suggested sites) b. This will bring you to the page titled NC ABCMS Links c. Click inside the box labeled “Child Care Provider Portal” d. Click the blue “Log into ABCMS” button e. Enter the business NCID username and password. You are now in the Provider Portal. Step 4: Locate provider code: From the Provider Portal Home Page a. Scroll to the bottom of the page and click on the facility name. b. This will bring up the Profile Page. c. Follow down the left column to locate Code for Payment by Applicant and/or Code for Payment by Provider d. Write down the preferred code. (See the “Access Codes” link in the Important Messages section of the Home page for instructions on printing codes.) e. Click Logout in the top right corner of the page. Step 5: Staff to Complete Connecting Application 1. Individual NCID – make sure the applicant has an active individual NCID username and password. The NCID type can be verified by logging into https://myNCID.nc.gov - scroll to the very bottom of the profile page. Check user type—must have the letter “I” indicating it is an individual registration. 2. Photo ID – make sure the applicant has a file available on the device (scanned to pdf or picture) that can be uploaded into ABCMS 3. Applicant logs into the ABCMS Applicant Site a. Enter ncabcms.nc.gov in a web browser and click enter (Do not click links for suggested sites) b. This will bring you to the page titled NC ABCMS Links. c. Click inside the box labeled “Child Care Background Check” d. Click at the bottom of the page on “Click here to Continue” e. Click the gray “Log into ABCMS” button f. Enter the individual NCID username and password. [If this is the first time using this NCID username to log into ABCMS the Applicant Search will appear. Enter the SSN and DOB. BE SURE THIS INFORMATION IS ENTERED CORRECTLY. Click Search] Applicant is on their profile page and should see their current qualification status. ***If the applicant does not see their current qualification, STOP and CALL the CBC Unit Help Desk 919-814-6401.*** Create Application a. Click Create Application **If the applicant does not see this button, STOP and CALL the CBC Unit Help Desk at 919-814-6401.** b. Enter the Provider Code and click Search – Facility name will appear on the right side of the screen c. Click Continue Application e. Click the ADD APPLICATION button. **Do not click ADD NEW APPLICATION if staff has current letter.** If this box does not appear, and you know the applicant has a current qualification letter, STOP and CALL the CBC Unit Help Desk at 919-814- 6401. DO NOT START MULTIPLE APPLICATIONS f. Profile – enter demographic information g. Verify Identity Choose type of document to be uploaded Click upload Choose file; enter name of document (license, photo ID, passport) Click upload – you will see file has been uploaded – upload button WILL NOT disappear – Click Next h. Current Address Enter the Month and Year you became a RESIDENT of NC (NOT the date you began living at this address. If you were born here and never lived out of state, this will be the month and year you were born here) i. Mailing Address j. Prior Addresses – enter these only if you have been living outside of NC in the previous 5 years. Must include all years from the Month/Year entered on the Current Address page. k. Prior Names l. Release of Information – check box at the top of the page m. Results of Registry Information n. Payment Page (if using the Pay by Applicant Code) Total should show $0. Click Next o. Review Application Summary and click box to verify information is correct. Click Finish to submit application. Step 6: Create Roster by “Hiring” Staff 1. Log into the ABCMS Provider Portal a. Enter ncabcms.nc.gov in a web browser and click enter. (Do not click links for suggested sites) b. This will bring you to the page titled NC ABCMS Links. c. Click inside the box labeled “Child Care Provider Portal” d. Click the blue “Log into ABCMS” button e. Enter the business NCID username and password. 2. Click on the blue number on the Determination Available line in the At A Glance table 3. Staff names will appear in Results. 4. Click the blue Hire button and complete the required fields in the dialog box. **Note: hire date CANNOT be prior to the date of the qualification letter. If you cannot enter the exact hire date, enter the date of the qualification letter.** 5. The name will disappear. Complete for each staff member. Confirm Roster a. Staff Tab Roster b. Click in the Provider field – begin entering facility name – click when it pops up to enter it in the field. c. Click the blue Search button d. Roster is displayed below. This page can be printed or exported. Plan to connect at least one (1) staff in order to reach compliance. I recommend starting with yourself, so that you can help other staff with the process. You can also contact Buncombe Partnership for Children for support with reaching compliance for this item: 828-285-9333 https://form.asana.com/?k=wvlp2RcFMsLPvnjXr6ChMQ&d=1200131910162645 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 1/21/26. 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 19431 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: Staff HH must complete Recognizing and Responding to Suspicions of Child Maltreatment training by 2/17/25. You can find this training here: https://pcanc.quest4data.com/courses 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 17 Completed Date: 6/18/2025 Age: From 2 To 7 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 6/16/25. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/27/25. The last shelter-in-place drill was practiced on 4/4/25. The last playground inspection was documented on 4/28/25. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/22/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher, Children were exploring the outdoor environment. Children engaged in pretend play in a playhouse, gardened, and observed plants. Children transitioned to the indoor learning environment and washed hands. Children engaged in a teacher-led morning meeting before transitioning to free play. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 4/28/25. .0605(q) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff file did not contain a staff development plan or annual staff evaluation. The staff development plan and annual staff evaluation for two (2) staff were not reviewed or completed annually. 10A NCAC 09 .0514(f) 1317 Authorization for emergency medical care information was not signed by child's parent. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1318 Medical authorization was not present on child's first day. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1319 Medical authorizations were not accessible to staff. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) Technical assistance was provided as follows: Item #859: In your letter of compliance, include a statement that indicates how you will ensure playground inspections are conducted on a monthly basis. I recommend conducting the playground inspection the same day the fire drill is conducted. Items #1317, #1318, #1319: To reach compliance for this item, plan to have the parents of the two (2) children sign an emergency medical care statement. We discussed you can copy/paste the statement below from the Child’s Enrollment Application from the Division’s website: “I, as the parent/guardian, authorize the center to obtain medical attention for my child in an emergency.” Have the parent sign and date the statement. Moving forward, plan to include this statement on the Emergency Medical Care cards that are included in the child’s enrollment packet. As a reminder, emergency medical care information is required to be updated annually by the parents of each child. Item #1232 To reach compliance for this item, each staff must complete a staff development plan. Additionally, you must complete an annual staff evaluation for each staff. 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. 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. 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 7/2/25. 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: Due soon: Staff must update their Emergency Information and Health Questionnaires by 6/25/25. Additionally, the emergency medical care plan must be reviewed with all staff by 6/25/25. Other Staffing Requirements: We reviewed the staffing rules in section .0714. As a reminder, since you are currently listed as the Administrator and the Lead Teacher, you must meet the requirements for both. Your hours on site as a lead teacher must be approximately four (4) hours or 2/3 of the daily hours of operation. Additionally, you must meet the 25 hour requirement for Administrative duties. I recommend having two (2) of your staff transition to the role of lead teacher. This will allow more time for you to complete Administrative duties on site. Plan to have two (2) staff submit their education information to WORKS and apply for the role of Lead Teacher. Links with information on how to accomplish this are included in the email containing this visit summary. First Aid Poster: Plan to request an updated First Aid/ Choking/CPR poster from the link provided in the email containing this visit summary. 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. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 17 Completed Date: 6/18/2025 Age: From 2 To 7 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 6/16/25. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/27/25. The last shelter-in-place drill was practiced on 4/4/25. The last playground inspection was documented on 4/28/25. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/22/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher, Children were exploring the outdoor environment. Children engaged in pretend play in a playhouse, gardened, and observed plants. Children transitioned to the indoor learning environment and washed hands. Children engaged in a teacher-led morning meeting before transitioning to free play. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 4/28/25. .0605(q) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff file did not contain a staff development plan or annual staff evaluation. The staff development plan and annual staff evaluation for two (2) staff were not reviewed or completed annually. 10A NCAC 09 .0514(f) 1317 Authorization for emergency medical care information was not signed by child's parent. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1318 Medical authorization was not present on child's first day. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1319 Medical authorizations were not accessible to staff. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) Technical assistance was provided as follows: Item #859: In your letter of compliance, include a statement that indicates how you will ensure playground inspections are conducted on a monthly basis. I recommend conducting the playground inspection the same day the fire drill is conducted. Items #1317, #1318, #1319: To reach compliance for this item, plan to have the parents of the two (2) children sign an emergency medical care statement. We discussed you can copy/paste the statement below from the Child’s Enrollment Application from the Division’s website: “I, as the parent/guardian, authorize the center to obtain medical attention for my child in an emergency.” Have the parent sign and date the statement. Moving forward, plan to include this statement on the Emergency Medical Care cards that are included in the child’s enrollment packet. As a reminder, emergency medical care information is required to be updated annually by the parents of each child. Item #1232 To reach compliance for this item, each staff must complete a staff development plan. Additionally, you must complete an annual staff evaluation for each staff. 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. 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. 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 7/2/25. 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: Due soon: Staff must update their Emergency Information and Health Questionnaires by 6/25/25. Additionally, the emergency medical care plan must be reviewed with all staff by 6/25/25. Other Staffing Requirements: We reviewed the staffing rules in section .0714. As a reminder, since you are currently listed as the Administrator and the Lead Teacher, you must meet the requirements for both. Your hours on site as a lead teacher must be approximately four (4) hours or 2/3 of the daily hours of operation. Additionally, you must meet the 25 hour requirement for Administrative duties. I recommend having two (2) of your staff transition to the role of lead teacher. This will allow more time for you to complete Administrative duties on site. Plan to have two (2) staff submit their education information to WORKS and apply for the role of Lead Teacher. Links with information on how to accomplish this are included in the email containing this visit summary. First Aid Poster: Plan to request an updated First Aid/ Choking/CPR poster from the link provided in the email containing this visit summary. 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. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 17 Completed Date: 6/18/2025 Age: From 2 To 7 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 6/16/25. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/27/25. The last shelter-in-place drill was practiced on 4/4/25. The last playground inspection was documented on 4/28/25. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/22/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher, Children were exploring the outdoor environment. Children engaged in pretend play in a playhouse, gardened, and observed plants. Children transitioned to the indoor learning environment and washed hands. Children engaged in a teacher-led morning meeting before transitioning to free play. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 4/28/25. .0605(q) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff file did not contain a staff development plan or annual staff evaluation. The staff development plan and annual staff evaluation for two (2) staff were not reviewed or completed annually. 10A NCAC 09 .0514(f) 1317 Authorization for emergency medical care information was not signed by child's parent. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1318 Medical authorization was not present on child's first day. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1319 Medical authorizations were not accessible to staff. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) Technical assistance was provided as follows: Item #859: In your letter of compliance, include a statement that indicates how you will ensure playground inspections are conducted on a monthly basis. I recommend conducting the playground inspection the same day the fire drill is conducted. Items #1317, #1318, #1319: To reach compliance for this item, plan to have the parents of the two (2) children sign an emergency medical care statement. We discussed you can copy/paste the statement below from the Child’s Enrollment Application from the Division’s website: “I, as the parent/guardian, authorize the center to obtain medical attention for my child in an emergency.” Have the parent sign and date the statement. Moving forward, plan to include this statement on the Emergency Medical Care cards that are included in the child’s enrollment packet. As a reminder, emergency medical care information is required to be updated annually by the parents of each child. Item #1232 To reach compliance for this item, each staff must complete a staff development plan. Additionally, you must complete an annual staff evaluation for each staff. 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. 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. 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 7/2/25. 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: Due soon: Staff must update their Emergency Information and Health Questionnaires by 6/25/25. Additionally, the emergency medical care plan must be reviewed with all staff by 6/25/25. Other Staffing Requirements: We reviewed the staffing rules in section .0714. As a reminder, since you are currently listed as the Administrator and the Lead Teacher, you must meet the requirements for both. Your hours on site as a lead teacher must be approximately four (4) hours or 2/3 of the daily hours of operation. Additionally, you must meet the 25 hour requirement for Administrative duties. I recommend having two (2) of your staff transition to the role of lead teacher. This will allow more time for you to complete Administrative duties on site. Plan to have two (2) staff submit their education information to WORKS and apply for the role of Lead Teacher. Links with information on how to accomplish this are included in the email containing this visit summary. First Aid Poster: Plan to request an updated First Aid/ Choking/CPR poster from the link provided in the email containing this visit summary. 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. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 17 Completed Date: 6/18/2025 Age: From 2 To 7 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 6/16/25. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/27/25. The last shelter-in-place drill was practiced on 4/4/25. The last playground inspection was documented on 4/28/25. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/22/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher, Children were exploring the outdoor environment. Children engaged in pretend play in a playhouse, gardened, and observed plants. Children transitioned to the indoor learning environment and washed hands. Children engaged in a teacher-led morning meeting before transitioning to free play. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 4/28/25. .0605(q) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff file did not contain a staff development plan or annual staff evaluation. The staff development plan and annual staff evaluation for two (2) staff were not reviewed or completed annually. 10A NCAC 09 .0514(f) 1317 Authorization for emergency medical care information was not signed by child's parent. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1318 Medical authorization was not present on child's first day. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1319 Medical authorizations were not accessible to staff. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) Technical assistance was provided as follows: Item #859: In your letter of compliance, include a statement that indicates how you will ensure playground inspections are conducted on a monthly basis. I recommend conducting the playground inspection the same day the fire drill is conducted. Items #1317, #1318, #1319: To reach compliance for this item, plan to have the parents of the two (2) children sign an emergency medical care statement. We discussed you can copy/paste the statement below from the Child’s Enrollment Application from the Division’s website: “I, as the parent/guardian, authorize the center to obtain medical attention for my child in an emergency.” Have the parent sign and date the statement. Moving forward, plan to include this statement on the Emergency Medical Care cards that are included in the child’s enrollment packet. As a reminder, emergency medical care information is required to be updated annually by the parents of each child. Item #1232 To reach compliance for this item, each staff must complete a staff development plan. Additionally, you must complete an annual staff evaluation for each staff. 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. 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. 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 7/2/25. 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: Due soon: Staff must update their Emergency Information and Health Questionnaires by 6/25/25. Additionally, the emergency medical care plan must be reviewed with all staff by 6/25/25. Other Staffing Requirements: We reviewed the staffing rules in section .0714. As a reminder, since you are currently listed as the Administrator and the Lead Teacher, you must meet the requirements for both. Your hours on site as a lead teacher must be approximately four (4) hours or 2/3 of the daily hours of operation. Additionally, you must meet the 25 hour requirement for Administrative duties. I recommend having two (2) of your staff transition to the role of lead teacher. This will allow more time for you to complete Administrative duties on site. Plan to have two (2) staff submit their education information to WORKS and apply for the role of Lead Teacher. Links with information on how to accomplish this are included in the email containing this visit summary. First Aid Poster: Plan to request an updated First Aid/ Choking/CPR poster from the link provided in the email containing this visit summary. 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. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 17 Completed Date: 6/18/2025 Age: From 2 To 7 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 6/16/25. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/27/25. The last shelter-in-place drill was practiced on 4/4/25. The last playground inspection was documented on 4/28/25. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/22/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher, Children were exploring the outdoor environment. Children engaged in pretend play in a playhouse, gardened, and observed plants. Children transitioned to the indoor learning environment and washed hands. Children engaged in a teacher-led morning meeting before transitioning to free play. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 4/28/25. .0605(q) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff file did not contain a staff development plan or annual staff evaluation. The staff development plan and annual staff evaluation for two (2) staff were not reviewed or completed annually. 10A NCAC 09 .0514(f) 1317 Authorization for emergency medical care information was not signed by child's parent. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1318 Medical authorization was not present on child's first day. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1319 Medical authorizations were not accessible to staff. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) Technical assistance was provided as follows: Item #859: In your letter of compliance, include a statement that indicates how you will ensure playground inspections are conducted on a monthly basis. I recommend conducting the playground inspection the same day the fire drill is conducted. Items #1317, #1318, #1319: To reach compliance for this item, plan to have the parents of the two (2) children sign an emergency medical care statement. We discussed you can copy/paste the statement below from the Child’s Enrollment Application from the Division’s website: “I, as the parent/guardian, authorize the center to obtain medical attention for my child in an emergency.” Have the parent sign and date the statement. Moving forward, plan to include this statement on the Emergency Medical Care cards that are included in the child’s enrollment packet. As a reminder, emergency medical care information is required to be updated annually by the parents of each child. Item #1232 To reach compliance for this item, each staff must complete a staff development plan. Additionally, you must complete an annual staff evaluation for each staff. 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. 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. 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 7/2/25. 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: Due soon: Staff must update their Emergency Information and Health Questionnaires by 6/25/25. Additionally, the emergency medical care plan must be reviewed with all staff by 6/25/25. Other Staffing Requirements: We reviewed the staffing rules in section .0714. As a reminder, since you are currently listed as the Administrator and the Lead Teacher, you must meet the requirements for both. Your hours on site as a lead teacher must be approximately four (4) hours or 2/3 of the daily hours of operation. Additionally, you must meet the 25 hour requirement for Administrative duties. I recommend having two (2) of your staff transition to the role of lead teacher. This will allow more time for you to complete Administrative duties on site. Plan to have two (2) staff submit their education information to WORKS and apply for the role of Lead Teacher. Links with information on how to accomplish this are included in the email containing this visit summary. First Aid Poster: Plan to request an updated First Aid/ Choking/CPR poster from the link provided in the email containing this visit summary. 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. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/18/2025 Number Present: 17 Completed Date: 6/18/2025 Age: From 2 To 7 Total Minutes: 180 Time In: 10:00 AM Time Out: 01:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 6/16/25. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21. Special Services/Restrictions – 1st shift (daytime care). The facility is licensed to serve thirty (30) children ages 2-12 years old. The last annual compliance visit was conducted on 6/20/24. The last fire drill was practiced on 5/27/25. The last shelter-in-place drill was practiced on 4/4/25. The last playground inspection was documented on 4/28/25. The last fire inspection was approved on 3/24/25. The last sanitation inspection was conducted on 1/22/25 with nine (9) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/29/25 without hazards. Lead paint and asbestos testing was completed on 1/21/25. The program does not provide transportation. Upon arrival, I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher, Children were exploring the outdoor environment. Children engaged in pretend play in a playhouse, gardened, and observed plants. Children transitioned to the indoor learning environment and washed hands. Children engaged in a teacher-led morning meeting before transitioning to free play. 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 859 Monthly playground inspections were not completed and/or they were not completed by an individual trained in playground safety requirements. The last playground inspection was conducted on 4/28/25. .0605(q) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff file did not contain a staff development plan or annual staff evaluation. The staff development plan and annual staff evaluation for two (2) staff were not reviewed or completed annually. 10A NCAC 09 .0514(f) 1317 Authorization for emergency medical care information was not signed by child's parent. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1318 Medical authorization was not present on child's first day. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) 1319 Medical authorizations were not accessible to staff. Two (2) children’s files did not contain an emergency medical care authorization signed by the parent. .0802(d) Technical assistance was provided as follows: Item #859: In your letter of compliance, include a statement that indicates how you will ensure playground inspections are conducted on a monthly basis. I recommend conducting the playground inspection the same day the fire drill is conducted. Items #1317, #1318, #1319: To reach compliance for this item, plan to have the parents of the two (2) children sign an emergency medical care statement. We discussed you can copy/paste the statement below from the Child’s Enrollment Application from the Division’s website: “I, as the parent/guardian, authorize the center to obtain medical attention for my child in an emergency.” Have the parent sign and date the statement. Moving forward, plan to include this statement on the Emergency Medical Care cards that are included in the child’s enrollment packet. As a reminder, emergency medical care information is required to be updated annually by the parents of each child. Item #1232 To reach compliance for this item, each staff must complete a staff development plan. Additionally, you must complete an annual staff evaluation for each staff. 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. 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. 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 7/2/25. 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: Due soon: Staff must update their Emergency Information and Health Questionnaires by 6/25/25. Additionally, the emergency medical care plan must be reviewed with all staff by 6/25/25. Other Staffing Requirements: We reviewed the staffing rules in section .0714. As a reminder, since you are currently listed as the Administrator and the Lead Teacher, you must meet the requirements for both. Your hours on site as a lead teacher must be approximately four (4) hours or 2/3 of the daily hours of operation. Additionally, you must meet the 25 hour requirement for Administrative duties. I recommend having two (2) of your staff transition to the role of lead teacher. This will allow more time for you to complete Administrative duties on site. Plan to have two (2) staff submit their education information to WORKS and apply for the role of Lead Teacher. Links with information on how to accomplish this are included in the email containing this visit summary. First Aid Poster: Plan to request an updated First Aid/ Choking/CPR poster from the link provided in the email containing this visit summary. 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. 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 .0304 · Violation

Name of Operation: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 17 Completed Date: 6/20/2024 Age: From 3 To 7 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Mehera Zorn, Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Gayle Fournier-Southern, Administrator, was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/17/24. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/28/23. The last fire drill was practiced on 5/28//24. The last shelter-in-place drill was practiced on 4/25/24. The last playground inspection was documented on 5/28/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 8/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/5/23. The program does not provide transportation. Upon arrival I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher. Children were observed in the outdoor learning environment. Children rode rolling toys up and down a ramp, swung on a swing set, engaged in pretend play in several playhouses, kicked and threw balls, observed and discussed insects, and observed plants growing in the garden. The class transitioned to the classroom. Upon entering the classroom, children changed shoes and washed their hands. Teachers assisted with unpacking/labeling lunches and helped ensure all children washed hands before joining the large group meeting. In the large group, teacher led meeting, the calendar was reviewed and gardening projects including making a scarecrow were discussed. Interactions were positive and nurturing. Supervision was adequate. There are eighteen (18) children enrolled. Two (2) children’s files were monitored today. There are four (4) staff. One (1) existing staff file was monitored today. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with four (4) staff on an annual basis. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff did not have an updated Health Questionnaire form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an updated Emergency Information form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR plan was not reviewed with four (4) staff on an annual basis. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 8/16/21, did not have a certificate on file for the Recognizing and Responding to Suspicions of Child Maltreatment training from preventchildabusenc.org on file. .1102(g) Technical assistance was provided as follows: Item #862 Plan to review the Emergency Medical Plan with all staff. Plan to have staff sign and date a statement that the plan was reviewed with them. Plan to maintain this documentation in personnel files. 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. Item #1034 Health Questionnaires must be updated annually. Plan to have the three (3) staff complete updated Health Questionnaires. We discussed that if there are no changes to the current Health Questionnaire on file, the staff member can indicate “no changes” and sign and date the statement. We discussed medical reports, TB tests and Health Questionnaires must be maintained in a separate confidential file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 Emergency Information forms must be updated annually or as changes occur. Plan to have the three (3) staff complete updated Emergency information forms. We discussed that if there are no changes to the current Emergency Information form on file, the staff member can indicate “no changes” and sign and date the statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to review the EPR plan with all staff and document this review. Documentation of the review can be maintained in the staff’s file or in the EPR folder. We discussed that your EPR plan is due for updates by 7/5/24. It is recommended that you update the plan before reviewing with staff. 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 #1897 We discussed the staff member must complete the Recognizing and Responding to Suspicions of Child Maltreatment training on https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 7/4/24. 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 all staff must have a WORKS letter on file. Plan to visit the link below to get started on this process: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Staff will use their NCID login to create their WORKS account. Once the account is created, staff will need to obtain and send official transcripts into WORKS following the instructions on the WORKS website/portal. Staff will then apply for their appropriate positions. We discussed that staff can apply for the role of teacher and lead teacher, as you have many staff with higher education credentials. Once the transcripts have been evaluated by WORKS, they will send a status letter to the staff member, indicating which position they are qualified for. If you receive a “return” letter, this means that something was not submitted correctly or that attention is needed. Follow the steps on the “return” letter to correctly submit the information and receive a status letter. Once the status letter is received, plan to maintain this letter in the staff member’s file. We discussed the Supervision rule as a refresher. We specifically discussed staff positioning to maximize supervision and supervision while eating. These items were in compliance during the visit. Please see the rule below as a reminder for adequate supervision: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 17 Completed Date: 6/20/2024 Age: From 3 To 7 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Mehera Zorn, Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Gayle Fournier-Southern, Administrator, was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/17/24. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/28/23. The last fire drill was practiced on 5/28//24. The last shelter-in-place drill was practiced on 4/25/24. The last playground inspection was documented on 5/28/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 8/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/5/23. The program does not provide transportation. Upon arrival I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher. Children were observed in the outdoor learning environment. Children rode rolling toys up and down a ramp, swung on a swing set, engaged in pretend play in several playhouses, kicked and threw balls, observed and discussed insects, and observed plants growing in the garden. The class transitioned to the classroom. Upon entering the classroom, children changed shoes and washed their hands. Teachers assisted with unpacking/labeling lunches and helped ensure all children washed hands before joining the large group meeting. In the large group, teacher led meeting, the calendar was reviewed and gardening projects including making a scarecrow were discussed. Interactions were positive and nurturing. Supervision was adequate. There are eighteen (18) children enrolled. Two (2) children’s files were monitored today. There are four (4) staff. One (1) existing staff file was monitored today. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with four (4) staff on an annual basis. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff did not have an updated Health Questionnaire form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an updated Emergency Information form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR plan was not reviewed with four (4) staff on an annual basis. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 8/16/21, did not have a certificate on file for the Recognizing and Responding to Suspicions of Child Maltreatment training from preventchildabusenc.org on file. .1102(g) Technical assistance was provided as follows: Item #862 Plan to review the Emergency Medical Plan with all staff. Plan to have staff sign and date a statement that the plan was reviewed with them. Plan to maintain this documentation in personnel files. 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. Item #1034 Health Questionnaires must be updated annually. Plan to have the three (3) staff complete updated Health Questionnaires. We discussed that if there are no changes to the current Health Questionnaire on file, the staff member can indicate “no changes” and sign and date the statement. We discussed medical reports, TB tests and Health Questionnaires must be maintained in a separate confidential file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 Emergency Information forms must be updated annually or as changes occur. Plan to have the three (3) staff complete updated Emergency information forms. We discussed that if there are no changes to the current Emergency Information form on file, the staff member can indicate “no changes” and sign and date the statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to review the EPR plan with all staff and document this review. Documentation of the review can be maintained in the staff’s file or in the EPR folder. We discussed that your EPR plan is due for updates by 7/5/24. It is recommended that you update the plan before reviewing with staff. 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 #1897 We discussed the staff member must complete the Recognizing and Responding to Suspicions of Child Maltreatment training on https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 7/4/24. 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 all staff must have a WORKS letter on file. Plan to visit the link below to get started on this process: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Staff will use their NCID login to create their WORKS account. Once the account is created, staff will need to obtain and send official transcripts into WORKS following the instructions on the WORKS website/portal. Staff will then apply for their appropriate positions. We discussed that staff can apply for the role of teacher and lead teacher, as you have many staff with higher education credentials. Once the transcripts have been evaluated by WORKS, they will send a status letter to the staff member, indicating which position they are qualified for. If you receive a “return” letter, this means that something was not submitted correctly or that attention is needed. Follow the steps on the “return” letter to correctly submit the information and receive a status letter. Once the status letter is received, plan to maintain this letter in the staff member’s file. We discussed the Supervision rule as a refresher. We specifically discussed staff positioning to maximize supervision and supervision while eating. These items were in compliance during the visit. Please see the rule below as a reminder for adequate supervision: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 17 Completed Date: 6/20/2024 Age: From 3 To 7 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Mehera Zorn, Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Gayle Fournier-Southern, Administrator, was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/17/24. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/28/23. The last fire drill was practiced on 5/28//24. The last shelter-in-place drill was practiced on 4/25/24. The last playground inspection was documented on 5/28/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 8/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/5/23. The program does not provide transportation. Upon arrival I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher. Children were observed in the outdoor learning environment. Children rode rolling toys up and down a ramp, swung on a swing set, engaged in pretend play in several playhouses, kicked and threw balls, observed and discussed insects, and observed plants growing in the garden. The class transitioned to the classroom. Upon entering the classroom, children changed shoes and washed their hands. Teachers assisted with unpacking/labeling lunches and helped ensure all children washed hands before joining the large group meeting. In the large group, teacher led meeting, the calendar was reviewed and gardening projects including making a scarecrow were discussed. Interactions were positive and nurturing. Supervision was adequate. There are eighteen (18) children enrolled. Two (2) children’s files were monitored today. There are four (4) staff. One (1) existing staff file was monitored today. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with four (4) staff on an annual basis. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff did not have an updated Health Questionnaire form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an updated Emergency Information form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR plan was not reviewed with four (4) staff on an annual basis. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 8/16/21, did not have a certificate on file for the Recognizing and Responding to Suspicions of Child Maltreatment training from preventchildabusenc.org on file. .1102(g) Technical assistance was provided as follows: Item #862 Plan to review the Emergency Medical Plan with all staff. Plan to have staff sign and date a statement that the plan was reviewed with them. Plan to maintain this documentation in personnel files. 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. Item #1034 Health Questionnaires must be updated annually. Plan to have the three (3) staff complete updated Health Questionnaires. We discussed that if there are no changes to the current Health Questionnaire on file, the staff member can indicate “no changes” and sign and date the statement. We discussed medical reports, TB tests and Health Questionnaires must be maintained in a separate confidential file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 Emergency Information forms must be updated annually or as changes occur. Plan to have the three (3) staff complete updated Emergency information forms. We discussed that if there are no changes to the current Emergency Information form on file, the staff member can indicate “no changes” and sign and date the statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to review the EPR plan with all staff and document this review. Documentation of the review can be maintained in the staff’s file or in the EPR folder. We discussed that your EPR plan is due for updates by 7/5/24. It is recommended that you update the plan before reviewing with staff. 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 #1897 We discussed the staff member must complete the Recognizing and Responding to Suspicions of Child Maltreatment training on https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 7/4/24. 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 all staff must have a WORKS letter on file. Plan to visit the link below to get started on this process: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Staff will use their NCID login to create their WORKS account. Once the account is created, staff will need to obtain and send official transcripts into WORKS following the instructions on the WORKS website/portal. Staff will then apply for their appropriate positions. We discussed that staff can apply for the role of teacher and lead teacher, as you have many staff with higher education credentials. Once the transcripts have been evaluated by WORKS, they will send a status letter to the staff member, indicating which position they are qualified for. If you receive a “return” letter, this means that something was not submitted correctly or that attention is needed. Follow the steps on the “return” letter to correctly submit the information and receive a status letter. Once the status letter is received, plan to maintain this letter in the staff member’s file. We discussed the Supervision rule as a refresher. We specifically discussed staff positioning to maximize supervision and supervision while eating. These items were in compliance during the visit. Please see the rule below as a reminder for adequate supervision: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 17 Completed Date: 6/20/2024 Age: From 3 To 7 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Mehera Zorn, Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Gayle Fournier-Southern, Administrator, was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/17/24. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/28/23. The last fire drill was practiced on 5/28//24. The last shelter-in-place drill was practiced on 4/25/24. The last playground inspection was documented on 5/28/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 8/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/5/23. The program does not provide transportation. Upon arrival I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher. Children were observed in the outdoor learning environment. Children rode rolling toys up and down a ramp, swung on a swing set, engaged in pretend play in several playhouses, kicked and threw balls, observed and discussed insects, and observed plants growing in the garden. The class transitioned to the classroom. Upon entering the classroom, children changed shoes and washed their hands. Teachers assisted with unpacking/labeling lunches and helped ensure all children washed hands before joining the large group meeting. In the large group, teacher led meeting, the calendar was reviewed and gardening projects including making a scarecrow were discussed. Interactions were positive and nurturing. Supervision was adequate. There are eighteen (18) children enrolled. Two (2) children’s files were monitored today. There are four (4) staff. One (1) existing staff file was monitored today. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with four (4) staff on an annual basis. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff did not have an updated Health Questionnaire form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an updated Emergency Information form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR plan was not reviewed with four (4) staff on an annual basis. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 8/16/21, did not have a certificate on file for the Recognizing and Responding to Suspicions of Child Maltreatment training from preventchildabusenc.org on file. .1102(g) Technical assistance was provided as follows: Item #862 Plan to review the Emergency Medical Plan with all staff. Plan to have staff sign and date a statement that the plan was reviewed with them. Plan to maintain this documentation in personnel files. 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. Item #1034 Health Questionnaires must be updated annually. Plan to have the three (3) staff complete updated Health Questionnaires. We discussed that if there are no changes to the current Health Questionnaire on file, the staff member can indicate “no changes” and sign and date the statement. We discussed medical reports, TB tests and Health Questionnaires must be maintained in a separate confidential file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 Emergency Information forms must be updated annually or as changes occur. Plan to have the three (3) staff complete updated Emergency information forms. We discussed that if there are no changes to the current Emergency Information form on file, the staff member can indicate “no changes” and sign and date the statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to review the EPR plan with all staff and document this review. Documentation of the review can be maintained in the staff’s file or in the EPR folder. We discussed that your EPR plan is due for updates by 7/5/24. It is recommended that you update the plan before reviewing with staff. 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 #1897 We discussed the staff member must complete the Recognizing and Responding to Suspicions of Child Maltreatment training on https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 7/4/24. 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 all staff must have a WORKS letter on file. Plan to visit the link below to get started on this process: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Staff will use their NCID login to create their WORKS account. Once the account is created, staff will need to obtain and send official transcripts into WORKS following the instructions on the WORKS website/portal. Staff will then apply for their appropriate positions. We discussed that staff can apply for the role of teacher and lead teacher, as you have many staff with higher education credentials. Once the transcripts have been evaluated by WORKS, they will send a status letter to the staff member, indicating which position they are qualified for. If you receive a “return” letter, this means that something was not submitted correctly or that attention is needed. Follow the steps on the “return” letter to correctly submit the information and receive a status letter. Once the status letter is received, plan to maintain this letter in the staff member’s file. We discussed the Supervision rule as a refresher. We specifically discussed staff positioning to maximize supervision and supervision while eating. These items were in compliance during the visit. Please see the rule below as a reminder for adequate supervision: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 17 Completed Date: 6/20/2024 Age: From 3 To 7 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Mehera Zorn, Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Gayle Fournier-Southern, Administrator, was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/17/24. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/28/23. The last fire drill was practiced on 5/28//24. The last shelter-in-place drill was practiced on 4/25/24. The last playground inspection was documented on 5/28/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 8/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/5/23. The program does not provide transportation. Upon arrival I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher. Children were observed in the outdoor learning environment. Children rode rolling toys up and down a ramp, swung on a swing set, engaged in pretend play in several playhouses, kicked and threw balls, observed and discussed insects, and observed plants growing in the garden. The class transitioned to the classroom. Upon entering the classroom, children changed shoes and washed their hands. Teachers assisted with unpacking/labeling lunches and helped ensure all children washed hands before joining the large group meeting. In the large group, teacher led meeting, the calendar was reviewed and gardening projects including making a scarecrow were discussed. Interactions were positive and nurturing. Supervision was adequate. There are eighteen (18) children enrolled. Two (2) children’s files were monitored today. There are four (4) staff. One (1) existing staff file was monitored today. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with four (4) staff on an annual basis. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff did not have an updated Health Questionnaire form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an updated Emergency Information form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR plan was not reviewed with four (4) staff on an annual basis. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 8/16/21, did not have a certificate on file for the Recognizing and Responding to Suspicions of Child Maltreatment training from preventchildabusenc.org on file. .1102(g) Technical assistance was provided as follows: Item #862 Plan to review the Emergency Medical Plan with all staff. Plan to have staff sign and date a statement that the plan was reviewed with them. Plan to maintain this documentation in personnel files. 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. Item #1034 Health Questionnaires must be updated annually. Plan to have the three (3) staff complete updated Health Questionnaires. We discussed that if there are no changes to the current Health Questionnaire on file, the staff member can indicate “no changes” and sign and date the statement. We discussed medical reports, TB tests and Health Questionnaires must be maintained in a separate confidential file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 Emergency Information forms must be updated annually or as changes occur. Plan to have the three (3) staff complete updated Emergency information forms. We discussed that if there are no changes to the current Emergency Information form on file, the staff member can indicate “no changes” and sign and date the statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to review the EPR plan with all staff and document this review. Documentation of the review can be maintained in the staff’s file or in the EPR folder. We discussed that your EPR plan is due for updates by 7/5/24. It is recommended that you update the plan before reviewing with staff. 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 #1897 We discussed the staff member must complete the Recognizing and Responding to Suspicions of Child Maltreatment training on https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 7/4/24. 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 all staff must have a WORKS letter on file. Plan to visit the link below to get started on this process: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Staff will use their NCID login to create their WORKS account. Once the account is created, staff will need to obtain and send official transcripts into WORKS following the instructions on the WORKS website/portal. Staff will then apply for their appropriate positions. We discussed that staff can apply for the role of teacher and lead teacher, as you have many staff with higher education credentials. Once the transcripts have been evaluated by WORKS, they will send a status letter to the staff member, indicating which position they are qualified for. If you receive a “return” letter, this means that something was not submitted correctly or that attention is needed. Follow the steps on the “return” letter to correctly submit the information and receive a status letter. Once the status letter is received, plan to maintain this letter in the staff member’s file. We discussed the Supervision rule as a refresher. We specifically discussed staff positioning to maximize supervision and supervision while eating. These items were in compliance during the visit. Please see the rule below as a reminder for adequate supervision: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 17 Completed Date: 6/20/2024 Age: From 3 To 7 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Mehera Zorn, Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Gayle Fournier-Southern, Administrator, was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/17/24. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/28/23. The last fire drill was practiced on 5/28//24. The last shelter-in-place drill was practiced on 4/25/24. The last playground inspection was documented on 5/28/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 8/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/5/23. The program does not provide transportation. Upon arrival I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher. Children were observed in the outdoor learning environment. Children rode rolling toys up and down a ramp, swung on a swing set, engaged in pretend play in several playhouses, kicked and threw balls, observed and discussed insects, and observed plants growing in the garden. The class transitioned to the classroom. Upon entering the classroom, children changed shoes and washed their hands. Teachers assisted with unpacking/labeling lunches and helped ensure all children washed hands before joining the large group meeting. In the large group, teacher led meeting, the calendar was reviewed and gardening projects including making a scarecrow were discussed. Interactions were positive and nurturing. Supervision was adequate. There are eighteen (18) children enrolled. Two (2) children’s files were monitored today. There are four (4) staff. One (1) existing staff file was monitored today. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with four (4) staff on an annual basis. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff did not have an updated Health Questionnaire form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an updated Emergency Information form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR plan was not reviewed with four (4) staff on an annual basis. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 8/16/21, did not have a certificate on file for the Recognizing and Responding to Suspicions of Child Maltreatment training from preventchildabusenc.org on file. .1102(g) Technical assistance was provided as follows: Item #862 Plan to review the Emergency Medical Plan with all staff. Plan to have staff sign and date a statement that the plan was reviewed with them. Plan to maintain this documentation in personnel files. 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. Item #1034 Health Questionnaires must be updated annually. Plan to have the three (3) staff complete updated Health Questionnaires. We discussed that if there are no changes to the current Health Questionnaire on file, the staff member can indicate “no changes” and sign and date the statement. We discussed medical reports, TB tests and Health Questionnaires must be maintained in a separate confidential file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 Emergency Information forms must be updated annually or as changes occur. Plan to have the three (3) staff complete updated Emergency information forms. We discussed that if there are no changes to the current Emergency Information form on file, the staff member can indicate “no changes” and sign and date the statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to review the EPR plan with all staff and document this review. Documentation of the review can be maintained in the staff’s file or in the EPR folder. We discussed that your EPR plan is due for updates by 7/5/24. It is recommended that you update the plan before reviewing with staff. 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 #1897 We discussed the staff member must complete the Recognizing and Responding to Suspicions of Child Maltreatment training on https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 7/4/24. 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 all staff must have a WORKS letter on file. Plan to visit the link below to get started on this process: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Staff will use their NCID login to create their WORKS account. Once the account is created, staff will need to obtain and send official transcripts into WORKS following the instructions on the WORKS website/portal. Staff will then apply for their appropriate positions. We discussed that staff can apply for the role of teacher and lead teacher, as you have many staff with higher education credentials. Once the transcripts have been evaluated by WORKS, they will send a status letter to the staff member, indicating which position they are qualified for. If you receive a “return” letter, this means that something was not submitted correctly or that attention is needed. Follow the steps on the “return” letter to correctly submit the information and receive a status letter. Once the status letter is received, plan to maintain this letter in the staff member’s file. We discussed the Supervision rule as a refresher. We specifically discussed staff positioning to maximize supervision and supervision while eating. These items were in compliance during the visit. Please see the rule below as a reminder for adequate supervision: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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 .1801 · Violation

Name of Operation: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 17 Completed Date: 6/20/2024 Age: From 3 To 7 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Mehera Zorn, Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Gayle Fournier-Southern, Administrator, was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/17/24. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/28/23. The last fire drill was practiced on 5/28//24. The last shelter-in-place drill was practiced on 4/25/24. The last playground inspection was documented on 5/28/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 8/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/5/23. The program does not provide transportation. Upon arrival I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher. Children were observed in the outdoor learning environment. Children rode rolling toys up and down a ramp, swung on a swing set, engaged in pretend play in several playhouses, kicked and threw balls, observed and discussed insects, and observed plants growing in the garden. The class transitioned to the classroom. Upon entering the classroom, children changed shoes and washed their hands. Teachers assisted with unpacking/labeling lunches and helped ensure all children washed hands before joining the large group meeting. In the large group, teacher led meeting, the calendar was reviewed and gardening projects including making a scarecrow were discussed. Interactions were positive and nurturing. Supervision was adequate. There are eighteen (18) children enrolled. Two (2) children’s files were monitored today. There are four (4) staff. One (1) existing staff file was monitored today. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with four (4) staff on an annual basis. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff did not have an updated Health Questionnaire form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an updated Emergency Information form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR plan was not reviewed with four (4) staff on an annual basis. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 8/16/21, did not have a certificate on file for the Recognizing and Responding to Suspicions of Child Maltreatment training from preventchildabusenc.org on file. .1102(g) Technical assistance was provided as follows: Item #862 Plan to review the Emergency Medical Plan with all staff. Plan to have staff sign and date a statement that the plan was reviewed with them. Plan to maintain this documentation in personnel files. 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. Item #1034 Health Questionnaires must be updated annually. Plan to have the three (3) staff complete updated Health Questionnaires. We discussed that if there are no changes to the current Health Questionnaire on file, the staff member can indicate “no changes” and sign and date the statement. We discussed medical reports, TB tests and Health Questionnaires must be maintained in a separate confidential file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 Emergency Information forms must be updated annually or as changes occur. Plan to have the three (3) staff complete updated Emergency information forms. We discussed that if there are no changes to the current Emergency Information form on file, the staff member can indicate “no changes” and sign and date the statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to review the EPR plan with all staff and document this review. Documentation of the review can be maintained in the staff’s file or in the EPR folder. We discussed that your EPR plan is due for updates by 7/5/24. It is recommended that you update the plan before reviewing with staff. 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 #1897 We discussed the staff member must complete the Recognizing and Responding to Suspicions of Child Maltreatment training on https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 7/4/24. 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 all staff must have a WORKS letter on file. Plan to visit the link below to get started on this process: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Staff will use their NCID login to create their WORKS account. Once the account is created, staff will need to obtain and send official transcripts into WORKS following the instructions on the WORKS website/portal. Staff will then apply for their appropriate positions. We discussed that staff can apply for the role of teacher and lead teacher, as you have many staff with higher education credentials. Once the transcripts have been evaluated by WORKS, they will send a status letter to the staff member, indicating which position they are qualified for. If you receive a “return” letter, this means that something was not submitted correctly or that attention is needed. Follow the steps on the “return” letter to correctly submit the information and receive a status letter. Once the status letter is received, plan to maintain this letter in the staff member’s file. We discussed the Supervision rule as a refresher. We specifically discussed staff positioning to maximize supervision and supervision while eating. These items were in compliance during the visit. Please see the rule below as a reminder for adequate supervision: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/20/2024 Number Present: 17 Completed Date: 6/20/2024 Age: From 3 To 7 Total Minutes: 240 Time In: 09:30 AM Time Out: 01:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Mehera Zorn, Teacher, during the visit. An electronic signed copy of the visit summary was emailed to you. Gayle Fournier-Southern, Administrator, was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-nine percent (89%) as of 6/17/24. The facility operates as a sole proprietorship. Permit type – One (1) star license issued 10/11/21 Special Services/Restrictions – 1st shift (daytime care) The last annual compliance visit was conducted on 6/28/23. The last fire drill was practiced on 5/28//24. The last shelter-in-place drill was practiced on 4/25/24. The last playground inspection was documented on 5/28/24. The last fire inspection was approved on 11/15/23. The last sanitation inspection was conducted on 8/23/23 with eight (8) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 7/5/23. The program does not provide transportation. Upon arrival I was greeted by Ms. Fournier-Southern and Subala Gillette, Teacher. Children were observed in the outdoor learning environment. Children rode rolling toys up and down a ramp, swung on a swing set, engaged in pretend play in several playhouses, kicked and threw balls, observed and discussed insects, and observed plants growing in the garden. The class transitioned to the classroom. Upon entering the classroom, children changed shoes and washed their hands. Teachers assisted with unpacking/labeling lunches and helped ensure all children washed hands before joining the large group meeting. In the large group, teacher led meeting, the calendar was reviewed and gardening projects including making a scarecrow were discussed. Interactions were positive and nurturing. Supervision was adequate. There are eighteen (18) children enrolled. Two (2) children’s files were monitored today. There are four (4) staff. One (1) existing staff file was monitored today. 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 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. The EMC plan was not reviewed with four (4) staff on an annual basis. 10A NCAC 09 .0802(a) 1034 All staff, including the director, did not have an annual health questionnaire on file following the initial medical statement. Three (3) staff did not have an updated Health Questionnaire form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1035 Child care providers, including the director, uncompensated providers, substitute providers, and volunteers did not have the required Emergency Information Form on file on or before the first day of work, which included all the required information and/or the information on the form was not updated as changes occur and at least annually. Three (3) staff did not have an updated Emergency Information form on file. Please refer to the Staff and Training Worksheet for details. .0701(a) 1825 All staff did not review the center's EPR Plan during orientation and/or on an annual basis with the trained staff. Documentation of the review was not maintained on file. The EPR plan was not reviewed with four (4) staff on an annual basis. .0607(f) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 8/16/21, did not have a certificate on file for the Recognizing and Responding to Suspicions of Child Maltreatment training from preventchildabusenc.org on file. .1102(g) Technical assistance was provided as follows: Item #862 Plan to review the Emergency Medical Plan with all staff. Plan to have staff sign and date a statement that the plan was reviewed with them. Plan to maintain this documentation in personnel files. 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. Item #1034 Health Questionnaires must be updated annually. Plan to have the three (3) staff complete updated Health Questionnaires. We discussed that if there are no changes to the current Health Questionnaire on file, the staff member can indicate “no changes” and sign and date the statement. We discussed medical reports, TB tests and Health Questionnaires must be maintained in a separate confidential file. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: All staff, including the director. Item requirements: Health Questionnaire A statement signed by the staff member that indicates that the person is emotionally and physically fit to care for children. Due Date: Annually following the initial medical statement. Item #1035 Emergency Information forms must be updated annually or as changes occur. Plan to have the three (3) staff complete updated Emergency information forms. We discussed that if there are no changes to the current Emergency Information form on file, the staff member can indicate “no changes” and sign and date the statement. 10A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified in the chart below: Required for: Child care providers, including the director, uncompensated providers, substitute providers, and volunteers. Item Requirements: Emergency Information Form, including the name, address, and telephone number of the person to be contacted in case of an emergency, and the responsible party's choice of health care professional. Due Date: On or before the first day of work. The emergency information shall be updated as changes occur and at least annually. Item #1825 Plan to review the EPR plan with all staff and document this review. Documentation of the review can be maintained in the staff’s file or in the EPR folder. We discussed that your EPR plan is due for updates by 7/5/24. It is recommended that you update the plan before reviewing with staff. 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 #1897 We discussed the staff member must complete the Recognizing and Responding to Suspicions of Child Maltreatment training on https://www.preventchildabusenc.org/resource-hub/recognizing-responding-to-child-maltreatment/ 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. 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 7/4/24. 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 all staff must have a WORKS letter on file. Plan to visit the link below to get started on this process: https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS Staff will use their NCID login to create their WORKS account. Once the account is created, staff will need to obtain and send official transcripts into WORKS following the instructions on the WORKS website/portal. Staff will then apply for their appropriate positions. We discussed that staff can apply for the role of teacher and lead teacher, as you have many staff with higher education credentials. Once the transcripts have been evaluated by WORKS, they will send a status letter to the staff member, indicating which position they are qualified for. If you receive a “return” letter, this means that something was not submitted correctly or that attention is needed. Follow the steps on the “return” letter to correctly submit the information and receive a status letter. Once the status letter is received, plan to maintain this letter in the staff member’s file. We discussed the Supervision rule as a refresher. We specifically discussed staff positioning to maximize supervision and supervision while eating. These items were in compliance during the visit. Please see the rule below as a reminder for adequate supervision: 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. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. It is 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 .0608 · Violation

Name of Operation: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 19 Completed Date: 1/30/2024 Age: From 2 To 5 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/17/24. The last fire drill was practiced on 1/11/24. The last emergency drill, shelter-in-place drill, was practiced on 10/10/23. The last fire inspection was approved on 11/15/23. The program’s most recent sanitation inspection was completed on 8/23/23, with eight (8) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by Ms. Fournier-Southern. Children were observed independent free play. Children built small structures with wooden blocks and cars, matched pegs on a pegboard, explored magnetic rods and balls, read books, painted pictures on an easel, rolled and cut out shapes with playdoh, arranged numbers 1-100 in sequence on a board, and ate a snack of bananas and bread. I observed a large group morning meeting in which children and teachers discussed the calendar and upcoming events in the classroom. 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 cited during the visit today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. One (2) staff, hire date 9/27/23, received the Criminal Background Check qualification letter on 12/4/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff, hire date 9/27/23, received ten (10) hours of training within the first six (6) weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hire date 9/27/23, received two (2) hours of training within the first two (2) weeks of employment. .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 9/27/23, did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 9/27/23, completed the training "Recognizing and Reporting Suspected Child Abuse for Home Visitors" on ProSolutions. They did not complete the training "Recognizing and Responding to Suspicions of Child Maltreatment" training on preventchildabusenc.org. .1102(g) Technical Assistance provided as follows: Item #1041 Criminal Background Check qualifying letters must be on file prior to employment. In your letter of compliance, include and statement that indicates how you will prevent this violation from occurring in the future. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Item #1045 Staff must complete sixteen (16) hours of orientation within the first six (6) weeks of employment. The one (1) new staff must receive six (6) additional hours of orientation. An updated copy of the orientation training sheet was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1067 Staff must complete six (6) hours of orientation training in required topics within the first two (2) weeks of employment. The one (1) staff must receive training in the topics according to the updated orientation training sheet that was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment - Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 - Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan - Adequate supervision of children in accordance with 10A NCAC 09 .1801 - Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment - Prevention and control of infectious diseases, including immunization New staff orientation within first six (6) weeks of employment - Firsthand observation of the center's daily operations - Instruction in the employee's assigned duties - Instruction in the maintenance of a safe and healthy environment - Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 - Review of the center's purposes and goals - Review of the child care licensing law and rules - Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment - An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource - An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations - Prevention of and response to emergencies due to food and allergic reactions - Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Item #1874 New staff sign the acknowledgement for your facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. To reach compliance for this item, plan to have the one (1) staff sign the acknowledgement and maintain the signed acknowledgment in the staff member’s file. The sample of this form from the Division’s website was provided to you in the email containing this visit summary. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item #1897 New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment Training on the website https://www.preventchildabusenc.org/online-trainings/ The one (1) new staff took the training “Recognizing and Reporting Suspected Child Abuse for Home Visitors” via ProSolutions. The one (1) new staff must complete the training via preventchildabusenc.org. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: To access the most up-to-date forms, please visit the DCDEE website, https://ncchildcare.ncdhhs.gov/ From the home page, click on the “Provider” tab and then click on “Provider Documents and Forms”. Plan to conduct a shelter-in-place or lockdown drill by 1/31/24. We discussed that the required health and safety trainings are now accessed via the DCDEE Moodle. Staff will use their NCID username and password to log in. From there, you can search for courses that are required. To search for this year’s Health and Safety Trainings, search for “CCDF 2023-2024”. ProSoutions is best used for on-going training hours or specific trainings that staff would like to take. Plan to update your Emergency Medical Care plan to include your new staff, M. Coudert. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 19 Completed Date: 1/30/2024 Age: From 2 To 5 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/17/24. The last fire drill was practiced on 1/11/24. The last emergency drill, shelter-in-place drill, was practiced on 10/10/23. The last fire inspection was approved on 11/15/23. The program’s most recent sanitation inspection was completed on 8/23/23, with eight (8) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by Ms. Fournier-Southern. Children were observed independent free play. Children built small structures with wooden blocks and cars, matched pegs on a pegboard, explored magnetic rods and balls, read books, painted pictures on an easel, rolled and cut out shapes with playdoh, arranged numbers 1-100 in sequence on a board, and ate a snack of bananas and bread. I observed a large group morning meeting in which children and teachers discussed the calendar and upcoming events in the classroom. 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 cited during the visit today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. One (2) staff, hire date 9/27/23, received the Criminal Background Check qualification letter on 12/4/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff, hire date 9/27/23, received ten (10) hours of training within the first six (6) weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hire date 9/27/23, received two (2) hours of training within the first two (2) weeks of employment. .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 9/27/23, did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 9/27/23, completed the training "Recognizing and Reporting Suspected Child Abuse for Home Visitors" on ProSolutions. They did not complete the training "Recognizing and Responding to Suspicions of Child Maltreatment" training on preventchildabusenc.org. .1102(g) Technical Assistance provided as follows: Item #1041 Criminal Background Check qualifying letters must be on file prior to employment. In your letter of compliance, include and statement that indicates how you will prevent this violation from occurring in the future. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Item #1045 Staff must complete sixteen (16) hours of orientation within the first six (6) weeks of employment. The one (1) new staff must receive six (6) additional hours of orientation. An updated copy of the orientation training sheet was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1067 Staff must complete six (6) hours of orientation training in required topics within the first two (2) weeks of employment. The one (1) staff must receive training in the topics according to the updated orientation training sheet that was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment - Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 - Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan - Adequate supervision of children in accordance with 10A NCAC 09 .1801 - Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment - Prevention and control of infectious diseases, including immunization New staff orientation within first six (6) weeks of employment - Firsthand observation of the center's daily operations - Instruction in the employee's assigned duties - Instruction in the maintenance of a safe and healthy environment - Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 - Review of the center's purposes and goals - Review of the child care licensing law and rules - Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment - An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource - An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations - Prevention of and response to emergencies due to food and allergic reactions - Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Item #1874 New staff sign the acknowledgement for your facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. To reach compliance for this item, plan to have the one (1) staff sign the acknowledgement and maintain the signed acknowledgment in the staff member’s file. The sample of this form from the Division’s website was provided to you in the email containing this visit summary. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item #1897 New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment Training on the website https://www.preventchildabusenc.org/online-trainings/ The one (1) new staff took the training “Recognizing and Reporting Suspected Child Abuse for Home Visitors” via ProSolutions. The one (1) new staff must complete the training via preventchildabusenc.org. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: To access the most up-to-date forms, please visit the DCDEE website, https://ncchildcare.ncdhhs.gov/ From the home page, click on the “Provider” tab and then click on “Provider Documents and Forms”. Plan to conduct a shelter-in-place or lockdown drill by 1/31/24. We discussed that the required health and safety trainings are now accessed via the DCDEE Moodle. Staff will use their NCID username and password to log in. From there, you can search for courses that are required. To search for this year’s Health and Safety Trainings, search for “CCDF 2023-2024”. ProSoutions is best used for on-going training hours or specific trainings that staff would like to take. Plan to update your Emergency Medical Care plan to include your new staff, M. Coudert. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 19 Completed Date: 1/30/2024 Age: From 2 To 5 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/17/24. The last fire drill was practiced on 1/11/24. The last emergency drill, shelter-in-place drill, was practiced on 10/10/23. The last fire inspection was approved on 11/15/23. The program’s most recent sanitation inspection was completed on 8/23/23, with eight (8) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by Ms. Fournier-Southern. Children were observed independent free play. Children built small structures with wooden blocks and cars, matched pegs on a pegboard, explored magnetic rods and balls, read books, painted pictures on an easel, rolled and cut out shapes with playdoh, arranged numbers 1-100 in sequence on a board, and ate a snack of bananas and bread. I observed a large group morning meeting in which children and teachers discussed the calendar and upcoming events in the classroom. 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 cited during the visit today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. One (2) staff, hire date 9/27/23, received the Criminal Background Check qualification letter on 12/4/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff, hire date 9/27/23, received ten (10) hours of training within the first six (6) weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hire date 9/27/23, received two (2) hours of training within the first two (2) weeks of employment. .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 9/27/23, did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 9/27/23, completed the training "Recognizing and Reporting Suspected Child Abuse for Home Visitors" on ProSolutions. They did not complete the training "Recognizing and Responding to Suspicions of Child Maltreatment" training on preventchildabusenc.org. .1102(g) Technical Assistance provided as follows: Item #1041 Criminal Background Check qualifying letters must be on file prior to employment. In your letter of compliance, include and statement that indicates how you will prevent this violation from occurring in the future. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Item #1045 Staff must complete sixteen (16) hours of orientation within the first six (6) weeks of employment. The one (1) new staff must receive six (6) additional hours of orientation. An updated copy of the orientation training sheet was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1067 Staff must complete six (6) hours of orientation training in required topics within the first two (2) weeks of employment. The one (1) staff must receive training in the topics according to the updated orientation training sheet that was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment - Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 - Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan - Adequate supervision of children in accordance with 10A NCAC 09 .1801 - Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment - Prevention and control of infectious diseases, including immunization New staff orientation within first six (6) weeks of employment - Firsthand observation of the center's daily operations - Instruction in the employee's assigned duties - Instruction in the maintenance of a safe and healthy environment - Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 - Review of the center's purposes and goals - Review of the child care licensing law and rules - Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment - An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource - An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations - Prevention of and response to emergencies due to food and allergic reactions - Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Item #1874 New staff sign the acknowledgement for your facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. To reach compliance for this item, plan to have the one (1) staff sign the acknowledgement and maintain the signed acknowledgment in the staff member’s file. The sample of this form from the Division’s website was provided to you in the email containing this visit summary. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item #1897 New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment Training on the website https://www.preventchildabusenc.org/online-trainings/ The one (1) new staff took the training “Recognizing and Reporting Suspected Child Abuse for Home Visitors” via ProSolutions. The one (1) new staff must complete the training via preventchildabusenc.org. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: To access the most up-to-date forms, please visit the DCDEE website, https://ncchildcare.ncdhhs.gov/ From the home page, click on the “Provider” tab and then click on “Provider Documents and Forms”. Plan to conduct a shelter-in-place or lockdown drill by 1/31/24. We discussed that the required health and safety trainings are now accessed via the DCDEE Moodle. Staff will use their NCID username and password to log in. From there, you can search for courses that are required. To search for this year’s Health and Safety Trainings, search for “CCDF 2023-2024”. ProSoutions is best used for on-going training hours or specific trainings that staff would like to take. Plan to update your Emergency Medical Care plan to include your new staff, M. Coudert. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 19 Completed Date: 1/30/2024 Age: From 2 To 5 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/17/24. The last fire drill was practiced on 1/11/24. The last emergency drill, shelter-in-place drill, was practiced on 10/10/23. The last fire inspection was approved on 11/15/23. The program’s most recent sanitation inspection was completed on 8/23/23, with eight (8) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by Ms. Fournier-Southern. Children were observed independent free play. Children built small structures with wooden blocks and cars, matched pegs on a pegboard, explored magnetic rods and balls, read books, painted pictures on an easel, rolled and cut out shapes with playdoh, arranged numbers 1-100 in sequence on a board, and ate a snack of bananas and bread. I observed a large group morning meeting in which children and teachers discussed the calendar and upcoming events in the classroom. 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 cited during the visit today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. One (2) staff, hire date 9/27/23, received the Criminal Background Check qualification letter on 12/4/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff, hire date 9/27/23, received ten (10) hours of training within the first six (6) weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hire date 9/27/23, received two (2) hours of training within the first two (2) weeks of employment. .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 9/27/23, did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 9/27/23, completed the training "Recognizing and Reporting Suspected Child Abuse for Home Visitors" on ProSolutions. They did not complete the training "Recognizing and Responding to Suspicions of Child Maltreatment" training on preventchildabusenc.org. .1102(g) Technical Assistance provided as follows: Item #1041 Criminal Background Check qualifying letters must be on file prior to employment. In your letter of compliance, include and statement that indicates how you will prevent this violation from occurring in the future. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Item #1045 Staff must complete sixteen (16) hours of orientation within the first six (6) weeks of employment. The one (1) new staff must receive six (6) additional hours of orientation. An updated copy of the orientation training sheet was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1067 Staff must complete six (6) hours of orientation training in required topics within the first two (2) weeks of employment. The one (1) staff must receive training in the topics according to the updated orientation training sheet that was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment - Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 - Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan - Adequate supervision of children in accordance with 10A NCAC 09 .1801 - Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment - Prevention and control of infectious diseases, including immunization New staff orientation within first six (6) weeks of employment - Firsthand observation of the center's daily operations - Instruction in the employee's assigned duties - Instruction in the maintenance of a safe and healthy environment - Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 - Review of the center's purposes and goals - Review of the child care licensing law and rules - Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment - An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource - An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations - Prevention of and response to emergencies due to food and allergic reactions - Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Item #1874 New staff sign the acknowledgement for your facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. To reach compliance for this item, plan to have the one (1) staff sign the acknowledgement and maintain the signed acknowledgment in the staff member’s file. The sample of this form from the Division’s website was provided to you in the email containing this visit summary. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item #1897 New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment Training on the website https://www.preventchildabusenc.org/online-trainings/ The one (1) new staff took the training “Recognizing and Reporting Suspected Child Abuse for Home Visitors” via ProSolutions. The one (1) new staff must complete the training via preventchildabusenc.org. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: To access the most up-to-date forms, please visit the DCDEE website, https://ncchildcare.ncdhhs.gov/ From the home page, click on the “Provider” tab and then click on “Provider Documents and Forms”. Plan to conduct a shelter-in-place or lockdown drill by 1/31/24. We discussed that the required health and safety trainings are now accessed via the DCDEE Moodle. Staff will use their NCID username and password to log in. From there, you can search for courses that are required. To search for this year’s Health and Safety Trainings, search for “CCDF 2023-2024”. ProSoutions is best used for on-going training hours or specific trainings that staff would like to take. Plan to update your Emergency Medical Care plan to include your new staff, M. Coudert. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 19 Completed Date: 1/30/2024 Age: From 2 To 5 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/17/24. The last fire drill was practiced on 1/11/24. The last emergency drill, shelter-in-place drill, was practiced on 10/10/23. The last fire inspection was approved on 11/15/23. The program’s most recent sanitation inspection was completed on 8/23/23, with eight (8) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by Ms. Fournier-Southern. Children were observed independent free play. Children built small structures with wooden blocks and cars, matched pegs on a pegboard, explored magnetic rods and balls, read books, painted pictures on an easel, rolled and cut out shapes with playdoh, arranged numbers 1-100 in sequence on a board, and ate a snack of bananas and bread. I observed a large group morning meeting in which children and teachers discussed the calendar and upcoming events in the classroom. 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 cited during the visit today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. One (2) staff, hire date 9/27/23, received the Criminal Background Check qualification letter on 12/4/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff, hire date 9/27/23, received ten (10) hours of training within the first six (6) weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hire date 9/27/23, received two (2) hours of training within the first two (2) weeks of employment. .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 9/27/23, did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 9/27/23, completed the training "Recognizing and Reporting Suspected Child Abuse for Home Visitors" on ProSolutions. They did not complete the training "Recognizing and Responding to Suspicions of Child Maltreatment" training on preventchildabusenc.org. .1102(g) Technical Assistance provided as follows: Item #1041 Criminal Background Check qualifying letters must be on file prior to employment. In your letter of compliance, include and statement that indicates how you will prevent this violation from occurring in the future. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Item #1045 Staff must complete sixteen (16) hours of orientation within the first six (6) weeks of employment. The one (1) new staff must receive six (6) additional hours of orientation. An updated copy of the orientation training sheet was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1067 Staff must complete six (6) hours of orientation training in required topics within the first two (2) weeks of employment. The one (1) staff must receive training in the topics according to the updated orientation training sheet that was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment - Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 - Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan - Adequate supervision of children in accordance with 10A NCAC 09 .1801 - Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment - Prevention and control of infectious diseases, including immunization New staff orientation within first six (6) weeks of employment - Firsthand observation of the center's daily operations - Instruction in the employee's assigned duties - Instruction in the maintenance of a safe and healthy environment - Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 - Review of the center's purposes and goals - Review of the child care licensing law and rules - Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment - An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource - An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations - Prevention of and response to emergencies due to food and allergic reactions - Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Item #1874 New staff sign the acknowledgement for your facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. To reach compliance for this item, plan to have the one (1) staff sign the acknowledgement and maintain the signed acknowledgment in the staff member’s file. The sample of this form from the Division’s website was provided to you in the email containing this visit summary. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item #1897 New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment Training on the website https://www.preventchildabusenc.org/online-trainings/ The one (1) new staff took the training “Recognizing and Reporting Suspected Child Abuse for Home Visitors” via ProSolutions. The one (1) new staff must complete the training via preventchildabusenc.org. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: To access the most up-to-date forms, please visit the DCDEE website, https://ncchildcare.ncdhhs.gov/ From the home page, click on the “Provider” tab and then click on “Provider Documents and Forms”. Plan to conduct a shelter-in-place or lockdown drill by 1/31/24. We discussed that the required health and safety trainings are now accessed via the DCDEE Moodle. Staff will use their NCID username and password to log in. From there, you can search for courses that are required. To search for this year’s Health and Safety Trainings, search for “CCDF 2023-2024”. ProSoutions is best used for on-going training hours or specific trainings that staff would like to take. Plan to update your Emergency Medical Care plan to include your new staff, M. Coudert. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-105 · Violation

Name of Operation: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 19 Completed Date: 1/30/2024 Age: From 2 To 5 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/17/24. The last fire drill was practiced on 1/11/24. The last emergency drill, shelter-in-place drill, was practiced on 10/10/23. The last fire inspection was approved on 11/15/23. The program’s most recent sanitation inspection was completed on 8/23/23, with eight (8) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by Ms. Fournier-Southern. Children were observed independent free play. Children built small structures with wooden blocks and cars, matched pegs on a pegboard, explored magnetic rods and balls, read books, painted pictures on an easel, rolled and cut out shapes with playdoh, arranged numbers 1-100 in sequence on a board, and ate a snack of bananas and bread. I observed a large group morning meeting in which children and teachers discussed the calendar and upcoming events in the classroom. 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 cited during the visit today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. One (2) staff, hire date 9/27/23, received the Criminal Background Check qualification letter on 12/4/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff, hire date 9/27/23, received ten (10) hours of training within the first six (6) weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hire date 9/27/23, received two (2) hours of training within the first two (2) weeks of employment. .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 9/27/23, did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 9/27/23, completed the training "Recognizing and Reporting Suspected Child Abuse for Home Visitors" on ProSolutions. They did not complete the training "Recognizing and Responding to Suspicions of Child Maltreatment" training on preventchildabusenc.org. .1102(g) Technical Assistance provided as follows: Item #1041 Criminal Background Check qualifying letters must be on file prior to employment. In your letter of compliance, include and statement that indicates how you will prevent this violation from occurring in the future. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Item #1045 Staff must complete sixteen (16) hours of orientation within the first six (6) weeks of employment. The one (1) new staff must receive six (6) additional hours of orientation. An updated copy of the orientation training sheet was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1067 Staff must complete six (6) hours of orientation training in required topics within the first two (2) weeks of employment. The one (1) staff must receive training in the topics according to the updated orientation training sheet that was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment - Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 - Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan - Adequate supervision of children in accordance with 10A NCAC 09 .1801 - Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment - Prevention and control of infectious diseases, including immunization New staff orientation within first six (6) weeks of employment - Firsthand observation of the center's daily operations - Instruction in the employee's assigned duties - Instruction in the maintenance of a safe and healthy environment - Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 - Review of the center's purposes and goals - Review of the child care licensing law and rules - Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment - An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource - An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations - Prevention of and response to emergencies due to food and allergic reactions - Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Item #1874 New staff sign the acknowledgement for your facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. To reach compliance for this item, plan to have the one (1) staff sign the acknowledgement and maintain the signed acknowledgment in the staff member’s file. The sample of this form from the Division’s website was provided to you in the email containing this visit summary. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item #1897 New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment Training on the website https://www.preventchildabusenc.org/online-trainings/ The one (1) new staff took the training “Recognizing and Reporting Suspected Child Abuse for Home Visitors” via ProSolutions. The one (1) new staff must complete the training via preventchildabusenc.org. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: To access the most up-to-date forms, please visit the DCDEE website, https://ncchildcare.ncdhhs.gov/ From the home page, click on the “Provider” tab and then click on “Provider Documents and Forms”. Plan to conduct a shelter-in-place or lockdown drill by 1/31/24. We discussed that the required health and safety trainings are now accessed via the DCDEE Moodle. Staff will use their NCID username and password to log in. From there, you can search for courses that are required. To search for this year’s Health and Safety Trainings, search for “CCDF 2023-2024”. ProSoutions is best used for on-going training hours or specific trainings that staff would like to take. Plan to update your Emergency Medical Care plan to include your new staff, M. Coudert. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 19 Completed Date: 1/30/2024 Age: From 2 To 5 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/17/24. The last fire drill was practiced on 1/11/24. The last emergency drill, shelter-in-place drill, was practiced on 10/10/23. The last fire inspection was approved on 11/15/23. The program’s most recent sanitation inspection was completed on 8/23/23, with eight (8) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by Ms. Fournier-Southern. Children were observed independent free play. Children built small structures with wooden blocks and cars, matched pegs on a pegboard, explored magnetic rods and balls, read books, painted pictures on an easel, rolled and cut out shapes with playdoh, arranged numbers 1-100 in sequence on a board, and ate a snack of bananas and bread. I observed a large group morning meeting in which children and teachers discussed the calendar and upcoming events in the classroom. 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 cited during the visit today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. One (2) staff, hire date 9/27/23, received the Criminal Background Check qualification letter on 12/4/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff, hire date 9/27/23, received ten (10) hours of training within the first six (6) weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hire date 9/27/23, received two (2) hours of training within the first two (2) weeks of employment. .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 9/27/23, did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 9/27/23, completed the training "Recognizing and Reporting Suspected Child Abuse for Home Visitors" on ProSolutions. They did not complete the training "Recognizing and Responding to Suspicions of Child Maltreatment" training on preventchildabusenc.org. .1102(g) Technical Assistance provided as follows: Item #1041 Criminal Background Check qualifying letters must be on file prior to employment. In your letter of compliance, include and statement that indicates how you will prevent this violation from occurring in the future. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Item #1045 Staff must complete sixteen (16) hours of orientation within the first six (6) weeks of employment. The one (1) new staff must receive six (6) additional hours of orientation. An updated copy of the orientation training sheet was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1067 Staff must complete six (6) hours of orientation training in required topics within the first two (2) weeks of employment. The one (1) staff must receive training in the topics according to the updated orientation training sheet that was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment - Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 - Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan - Adequate supervision of children in accordance with 10A NCAC 09 .1801 - Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment - Prevention and control of infectious diseases, including immunization New staff orientation within first six (6) weeks of employment - Firsthand observation of the center's daily operations - Instruction in the employee's assigned duties - Instruction in the maintenance of a safe and healthy environment - Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 - Review of the center's purposes and goals - Review of the child care licensing law and rules - Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment - An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource - An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations - Prevention of and response to emergencies due to food and allergic reactions - Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Item #1874 New staff sign the acknowledgement for your facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. To reach compliance for this item, plan to have the one (1) staff sign the acknowledgement and maintain the signed acknowledgment in the staff member’s file. The sample of this form from the Division’s website was provided to you in the email containing this visit summary. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item #1897 New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment Training on the website https://www.preventchildabusenc.org/online-trainings/ The one (1) new staff took the training “Recognizing and Reporting Suspected Child Abuse for Home Visitors” via ProSolutions. The one (1) new staff must complete the training via preventchildabusenc.org. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: To access the most up-to-date forms, please visit the DCDEE website, https://ncchildcare.ncdhhs.gov/ From the home page, click on the “Provider” tab and then click on “Provider Documents and Forms”. Plan to conduct a shelter-in-place or lockdown drill by 1/31/24. We discussed that the required health and safety trainings are now accessed via the DCDEE Moodle. Staff will use their NCID username and password to log in. From there, you can search for courses that are required. To search for this year’s Health and Safety Trainings, search for “CCDF 2023-2024”. ProSoutions is best used for on-going training hours or specific trainings that staff would like to take. Plan to update your Emergency Medical Care plan to include your new staff, M. Coudert. 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: BLUE RIDGE MONTESSORI SCHOOL Facility ID: 11000502 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 1/30/2024 Number Present: 19 Completed Date: 1/30/2024 Age: From 2 To 5 Total Minutes: 140 Time In: 09:10 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Gayle Fournier-Southern, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fournier-Southern was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 1/17/24. The last fire drill was practiced on 1/11/24. The last emergency drill, shelter-in-place drill, was practiced on 10/10/23. The last fire inspection was approved on 11/15/23. The program’s most recent sanitation inspection was completed on 8/23/23, with eight (8) demerits for a superior rating. The Emergency Medical Care Plan was posted and current. There is one (1) new staff. One (1) new staff file was monitored today. Upon arrival I was greeted by Ms. Fournier-Southern. Children were observed independent free play. Children built small structures with wooden blocks and cars, matched pegs on a pegboard, explored magnetic rods and balls, read books, painted pictures on an easel, rolled and cut out shapes with playdoh, arranged numbers 1-100 in sequence on a board, and ate a snack of bananas and bread. I observed a large group morning meeting in which children and teachers discussed the calendar and upcoming events in the classroom. 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 cited during the visit today: Violation Number Comment Rule 1041 Prior to employment a Criminal Background Check was not completed. One (2) staff, hire date 9/27/23, received the Criminal Background Check qualification letter on 12/4/23. G.S. 110-90.2(b) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. One (1) staff, hire date 9/27/23, received ten (10) hours of training within the first six (6) weeks of employment. .1101(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One staff, hire date 9/27/23, received two (2) hours of training within the first two (2) weeks of employment. .1101(a)(b) 1874 The Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy was not reviewed with new staff prior to providing care with children and/or a signed acknowledgement with all the required information was not maintained in the staff person's file. One (1) staff, hire date 9/27/23, did not have a signed acknowledgement of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy on file. .0608(d)(1-4) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff, hire date 9/27/23, completed the training "Recognizing and Reporting Suspected Child Abuse for Home Visitors" on ProSolutions. They did not complete the training "Recognizing and Responding to Suspicions of Child Maltreatment" training on preventchildabusenc.org. .1102(g) Technical Assistance provided as follows: Item #1041 Criminal Background Check qualifying letters must be on file prior to employment. In your letter of compliance, include and statement that indicates how you will prevent this violation from occurring in the future. G.S. 110-90.2. Mandatory child care providers' criminal history checks. (b) Effective January 1, 1996, the Department shall ensure that, prior to employment and every three years thereafter, the criminal history of all child care providers is checked and a determination is made of the child care provider's fitness to have responsibility for the safety and well-being of children based on the criminal history. The Department shall ensure that all child care providers are checked for county, State, and federal criminal histories. Item #1045 Staff must complete sixteen (16) hours of orientation within the first six (6) weeks of employment. The one (1) new staff must receive six (6) additional hours of orientation. An updated copy of the orientation training sheet was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. Item #1067 Staff must complete six (6) hours of orientation training in required topics within the first two (2) weeks of employment. The one (1) staff must receive training in the topics according to the updated orientation training sheet that was provided to you today in the email containing this visit summary. 10A NCAC 09 .1101 NEW STAFF ORIENTATION REQUIREMENTS (a) Each center shall ensure that each new employee who is expected to have contact with children receives 16 hours of on-site orientation within the first six weeks of employment. As part of this orientation, each new employee shall complete six hours of orientation within the first two weeks of employment. (b) New staff orientation shall include an overview of the following topics, focusing on the operation of the center: New staff orientation within first two (2) weeks of employment - Information regarding recognizing, responding to, and reporting child abuse, neglect, or maltreatment pursuant to G.S. 110-105.4 and G.S. 7B-301 - Review of the center's operational policies, including the center's safe sleep policy for infants, the center's policy for transportation, the center's identification of building and premises safety issues, the Emergency Preparedness and Response Plan, and the emergency medical care plan - Adequate supervision of children in accordance with 10A NCAC 09 .1801 - Information regarding prevention of shaken baby syndrome and abusive head trauma and child maltreatment - Prevention and control of infectious diseases, including immunization New staff orientation within first six (6) weeks of employment - Firsthand observation of the center's daily operations - Instruction in the employee's assigned duties - Instruction in the maintenance of a safe and healthy environment - Instruction in the administration of medication to children in accordance with 10A NCAC 09 .0803 - Review of the center's purposes and goals - Review of the child care licensing law and rules - Review of Section .2800 of this Chapter if the center has a two- through five- star license at the time of employment - An explanation of the role of State and local government agencies in the regulation of child care, their impact on the operation of the center, and their availability as a resource - An explanation of the employee's obligation to cooperate with representatives of State and local government agencies during visits and investigations - Prevention of and response to emergencies due to food and allergic reactions - Review of the center's handling and storage of hazardous materials and the appropriate disposal of biocontaminants. Item #1874 New staff sign the acknowledgement for your facility’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy prior to caring for children. To reach compliance for this item, plan to have the one (1) staff sign the acknowledgement and maintain the signed acknowledgment in the staff member’s file. The sample of this form from the Division’s website was provided to you in the email containing this visit summary. 10A NCAC 09 .0608 PREVENTION OF SHAKEN BABY SYNDROME AND ABUSIVE HEAD TRAUMA (d) Within 30 days of adopting the policy, the child care center shall review the policy with existing staff members who provide care for children up to five years of age. Each child care center shall review the policy with new staff members prior to the individual providing care to children. The acknowledgement of this review shall contain: (1) the individual’s name; (2) the date the center’s policy was given and explained to the individual; (3) the individual’s signature; and (4) the date the individual signed the acknowledgment. The child care center shall retain the acknowledgement in the staff member’s file. Item #1897 New staff must complete Recognizing and Responding to Suspicions of Child Maltreatment Training on the website https://www.preventchildabusenc.org/online-trainings/ The one (1) new staff took the training “Recognizing and Reporting Suspected Child Abuse for Home Visitors” via ProSolutions. The one (1) new staff must complete the training via preventchildabusenc.org. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 2/13/24. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall P.O. Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: To access the most up-to-date forms, please visit the DCDEE website, https://ncchildcare.ncdhhs.gov/ From the home page, click on the “Provider” tab and then click on “Provider Documents and Forms”. Plan to conduct a shelter-in-place or lockdown drill by 1/31/24. We discussed that the required health and safety trainings are now accessed via the DCDEE Moodle. Staff will use their NCID username and password to log in. From there, you can search for courses that are required. To search for this year’s Health and Safety Trainings, search for “CCDF 2023-2024”. ProSoutions is best used for on-going training hours or specific trainings that staff would like to take. Plan to update your Emergency Medical Care plan to include your new staff, M. Coudert. 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