Discovery Montessori School

10A NCAC 09 .0902 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 114 Completed Date: 3/25/2026 Age: From 1 To 6 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 Brookes Parrish, Owner, during the visit. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Parrish and Karina Fricker, Assistant Teacher, were 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-two percent (82%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Discovery Preschool, LLC, is current/active as of 3/23/26. Permit type – One (1) star license issued 10/16/25 Special Services/Restrictions – 1st shift (daytime care), children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 3/5/26. The last lockdown drill was practiced on 3/2/26. The last playground inspection was documented on 3/5/26. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. Plan to reach out to Environmental Health to ensure an inspection is conducted by 3/31/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. The facility does not provide transportation. Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. Upon arrival I was greeted by Ms. Parrish. In classroom space 1 and 2, children prepared to go outside by putting on coats. Once outside, children were observed climbing on a climber, and pushing various toys. In classroom space 3 and 4, children were exploring the outdoor learning environment. Children were observed exploring a maze, pretending to chop wood with child-sized shovels and hit balls with rackets. In classroom space 5, children were engaged in a large group show and tell activity. In classroom space 6, children were engaged in independent free choice center play. Children matched objects to pictures of sea animals, explored age-appropriate math manipulatives, and participated in a teacher-led collage name writing art project. In classroom space 7, children ate snack from home and engaged in various fine motor exercises such as moving objects with tongs, attaching fabric to a string with clothespins and matching lids to various containers. In classroom space 8, children built large structures with blocks, solved three dimensional puzzles and engaged in various fine motor exercises such as weaving ribbons and finding objects in a sensory box. 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 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) An infant feeding plan was not provided for one (1) thirteen-month-old child in classroom space 1. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space 2, one (1) diaper cream expired in 11/2025 and one (1) epipen expired on 1/31/26. .0803(12) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Six (6) staff did not complete the required on-going training hours according to their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 3/3/26, received three and a half (3.5) clock hours of orientation within the first two (2) weeks of employment. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/18/25, did not have an annual staff evaluation or staff development plan on file. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The Emergency Medical Care information was not updated annually for two (2) children. .0802(c) 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 Provider Portal. G.S. 110-90.2 & .2703(r) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. Five (5) lead teachers did not have a WORKS letter on file indicating they meet lead teacher education requirements within six (6) months of assuming lead teacher duties. .0703(d) Technical assistance was provided as follows: Item #540: The feeding plan was located during the visit and posted in the classroom during the visit today. This is corrected. Moving forward, plan to post all feeding plans by the child’s first day of attendance. Item #849: To reach compliance with this item, the medications must be discarded or returned to the parents. In your letter of compliance include a statement that indicates the medications have been discarded or returned to the parents. Item #1052: Staff must complete the annual on-going training hours according to their education and experience level listed in rule .1103(a). As a reminder, the training period is calculated from the anniversary of the hire date to the next anniversary of the hire date. For example, if a staff member was hired on 2/27/18, their last on-going training period would be calculated from 2/27/25 to 2/27/26. Due to the effects of Tropical Storm Helene, on-going training requirements were waived between October 2024 – April 2025. However, six (6) staff members did not complete sufficient on-going training hours outside of the exemption period. The follow staff must complete the hours listed below by your compliance due date of 4/8/26: C. Marvels- One (1) hour K. McCormack- Six (6) hours A. Seip- Six (6) hours M. Simpson- Eight (8) hours L. Martin- Twelve (12) hours M. Campbell- Two (2) hours Please note, trainings must be approved by the Division in order to count for on-going training hours. I have provided a resource for on-going training hours relevant to Montessori in the email containing this visit summary. Item #1067: New staff members must receive minimum of six (6) hours of orientation within first six (6) weeks. To comply, the staff member shall spend additional 2.5 hours on the topics listed under two-week orientation. Refer to 10A NCAC 09 .1101. In your compliance letter, please verify the completion of the orientation. Item #1232: Staff Development Plan and annual evaluation are required annually. To comply, you must complete staff development plan and annual evaluation for C. Carver and file them. In your compliance letter, please verify the completion staff development plan and annual evaluation. Item #1311: Emergency Medical Care on children’s applications must be updated annually. We discussed one (1) child who is leaving the facility within the next two (2) weeks. The other child listed on the children’s records form as missing the updated emergency medical care form will be in care through the end of the school year. To reach compliance with this item, the enrolled children must have an updated application with emergency medical care information on file. In your compliance letter, please verify the two (2) children have the updated information on file or that the children are no longer in attendance. Item #1805: To reach compliance with this item, the Administrator or Owner/Operator must complete the required training on Moodle to access the Provider Portal. Additionally, at least one (1) staff must be connected to the facility in order to reach compliance. A Technical Assistance document that includes click by click instructions was provided to you in the email containing this visit summary. In your letter of compliance, include a statement that indicates at least one (1) staff member has been connected to the facility in the ABCMS Provider Portal. Item #1889: The following lead teachers must submit their transcripts to WORKS but the compliance due date listed below: A. Seip K. Bates K. Edwards M. Gauthier K. McCormack Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/8/26. 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: Safe Sleep: We discussed that safe sleep rules apply to children twelve (12) months or younger. You stated you do enroll children who are twelve (12) months old. Currently, only children thirteen months old are present at the facility. If a child who is twelve (12) month old is present at the facility, safe sleep rules will apply. The following would need to be completed: -The Administrator and caregiving staff in rooms with twelve month old children would need ITS-SIDS training. -Sleep checks would need to be conducted every fifteen minutes for twelve month old children. -No blankets would be permitted for twelve month old children. -A safe sleep policy would need to be adopted by the facility and parents would be required to sign the policy at enrollment. Surfacing: There is sufficient surfacing in fall zones on the playground. However, due to winter weather, the mulch has become somewhat compact. Plan to rake and fluff the mulch within a six foot radius around climbers to ensure sufficient depth is sustained. Criminal Background Check: The following staff are due to complete the Criminal Background Check 5 year recheck soon: K. Bates expires 9/24/26. K. Bates can begin the process to renew on 3/24/26. K. McCormack expires 9/30/26. K. McCormack can begin the process to renew on 3/30/26. CPR/First Aid: Z. Gosnell must receive CPR/First Aid training by 4/5/26. E. Contori has a CPR/First Aid training certificate on file that is not from an approved trainer. E. Contori must complete First Aid/CPR from an approved trainer by 6/1/26. Staff and Training Worksheet: There were several dates that were not accurately captured on the Staff and Training Worksheet. Please see below and make edits to the worksheet as needed to ensure accurate information is captured moving forward: Staff files: Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. The following discrepancies between the dates reviewed on files and Staff and Training Worksheets were noted: C. Gregory: First date of employment – no record EMC review – 1/2/26 Health and Safety training – 1/29/26 Application date -5/1/15 OP/PP – 5/1/15 B. Parrish: Recognizing and Responding to Suspicions of Child Maltreatment training - 10/29/25 Health and Safety Training – 1/30/26 EMC review – 1/2/26 EPR review – 1/2/26 EI – 1/2/26 Application – 5/1/15 OP/PP – 5/16/15 E. Conforti: CPR/First aid certificates are on file. The training was completed on 1/28/26 by American Health Care Academy, which is not on the approved agency list by DCDEE. OP/PP review – 3/3/26 C. Marvels 2wks orientation – 3/7/18 6wks orientation – 3/27/18 EPR review -8/20/25 EMC Review – 4/1/25 OP/PP review – 2/27/18 Health and Safety Training – 5/10/25 On-going training hours – 19 hours between 2/27/25 – 2/26/26 verified K. McCormack EI – 1/3/25 2 wks orientation -10/1/21 OP/PP – 9/28/21 Application – 9/2/21 EMC review – 9/9/25 On-going training hours -one (1) hour of training between 9/27/24 – 9/26/25 was verified. Z. Gosnell: 2-week orientation – 1/7/25 6-week orientation - 1/9/26 OP/PP review – 12/9/25 EPR review – 12/9/25 I. Killian: Health and Safety Training – 3/6/26 2 week orientation – 1/15/26 6 week orientation – 1/16/26 – missing provider section is all but one (1) section OP/PP review – 1/2/26 M. Campbell: On-going training requirements – 10 hours is required annually. Zero (0) hour was verified for 6/5/24 – 6/4/25 period. L. Martin: On-going training requirements – five (5) hours of training between 2/2/4/25 – 2/2/3/26 was verified. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 114 Completed Date: 3/25/2026 Age: From 1 To 6 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 Brookes Parrish, Owner, during the visit. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Parrish and Karina Fricker, Assistant Teacher, were 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-two percent (82%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Discovery Preschool, LLC, is current/active as of 3/23/26. Permit type – One (1) star license issued 10/16/25 Special Services/Restrictions – 1st shift (daytime care), children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 3/5/26. The last lockdown drill was practiced on 3/2/26. The last playground inspection was documented on 3/5/26. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. Plan to reach out to Environmental Health to ensure an inspection is conducted by 3/31/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. The facility does not provide transportation. Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. Upon arrival I was greeted by Ms. Parrish. In classroom space 1 and 2, children prepared to go outside by putting on coats. Once outside, children were observed climbing on a climber, and pushing various toys. In classroom space 3 and 4, children were exploring the outdoor learning environment. Children were observed exploring a maze, pretending to chop wood with child-sized shovels and hit balls with rackets. In classroom space 5, children were engaged in a large group show and tell activity. In classroom space 6, children were engaged in independent free choice center play. Children matched objects to pictures of sea animals, explored age-appropriate math manipulatives, and participated in a teacher-led collage name writing art project. In classroom space 7, children ate snack from home and engaged in various fine motor exercises such as moving objects with tongs, attaching fabric to a string with clothespins and matching lids to various containers. In classroom space 8, children built large structures with blocks, solved three dimensional puzzles and engaged in various fine motor exercises such as weaving ribbons and finding objects in a sensory box. 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 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) An infant feeding plan was not provided for one (1) thirteen-month-old child in classroom space 1. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space 2, one (1) diaper cream expired in 11/2025 and one (1) epipen expired on 1/31/26. .0803(12) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Six (6) staff did not complete the required on-going training hours according to their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 3/3/26, received three and a half (3.5) clock hours of orientation within the first two (2) weeks of employment. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/18/25, did not have an annual staff evaluation or staff development plan on file. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The Emergency Medical Care information was not updated annually for two (2) children. .0802(c) 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 Provider Portal. G.S. 110-90.2 & .2703(r) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. Five (5) lead teachers did not have a WORKS letter on file indicating they meet lead teacher education requirements within six (6) months of assuming lead teacher duties. .0703(d) Technical assistance was provided as follows: Item #540: The feeding plan was located during the visit and posted in the classroom during the visit today. This is corrected. Moving forward, plan to post all feeding plans by the child’s first day of attendance. Item #849: To reach compliance with this item, the medications must be discarded or returned to the parents. In your letter of compliance include a statement that indicates the medications have been discarded or returned to the parents. Item #1052: Staff must complete the annual on-going training hours according to their education and experience level listed in rule .1103(a). As a reminder, the training period is calculated from the anniversary of the hire date to the next anniversary of the hire date. For example, if a staff member was hired on 2/27/18, their last on-going training period would be calculated from 2/27/25 to 2/27/26. Due to the effects of Tropical Storm Helene, on-going training requirements were waived between October 2024 – April 2025. However, six (6) staff members did not complete sufficient on-going training hours outside of the exemption period. The follow staff must complete the hours listed below by your compliance due date of 4/8/26: C. Marvels- One (1) hour K. McCormack- Six (6) hours A. Seip- Six (6) hours M. Simpson- Eight (8) hours L. Martin- Twelve (12) hours M. Campbell- Two (2) hours Please note, trainings must be approved by the Division in order to count for on-going training hours. I have provided a resource for on-going training hours relevant to Montessori in the email containing this visit summary. Item #1067: New staff members must receive minimum of six (6) hours of orientation within first six (6) weeks. To comply, the staff member shall spend additional 2.5 hours on the topics listed under two-week orientation. Refer to 10A NCAC 09 .1101. In your compliance letter, please verify the completion of the orientation. Item #1232: Staff Development Plan and annual evaluation are required annually. To comply, you must complete staff development plan and annual evaluation for C. Carver and file them. In your compliance letter, please verify the completion staff development plan and annual evaluation. Item #1311: Emergency Medical Care on children’s applications must be updated annually. We discussed one (1) child who is leaving the facility within the next two (2) weeks. The other child listed on the children’s records form as missing the updated emergency medical care form will be in care through the end of the school year. To reach compliance with this item, the enrolled children must have an updated application with emergency medical care information on file. In your compliance letter, please verify the two (2) children have the updated information on file or that the children are no longer in attendance. Item #1805: To reach compliance with this item, the Administrator or Owner/Operator must complete the required training on Moodle to access the Provider Portal. Additionally, at least one (1) staff must be connected to the facility in order to reach compliance. A Technical Assistance document that includes click by click instructions was provided to you in the email containing this visit summary. In your letter of compliance, include a statement that indicates at least one (1) staff member has been connected to the facility in the ABCMS Provider Portal. Item #1889: The following lead teachers must submit their transcripts to WORKS but the compliance due date listed below: A. Seip K. Bates K. Edwards M. Gauthier K. McCormack Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/8/26. 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: Safe Sleep: We discussed that safe sleep rules apply to children twelve (12) months or younger. You stated you do enroll children who are twelve (12) months old. Currently, only children thirteen months old are present at the facility. If a child who is twelve (12) month old is present at the facility, safe sleep rules will apply. The following would need to be completed: -The Administrator and caregiving staff in rooms with twelve month old children would need ITS-SIDS training. -Sleep checks would need to be conducted every fifteen minutes for twelve month old children. -No blankets would be permitted for twelve month old children. -A safe sleep policy would need to be adopted by the facility and parents would be required to sign the policy at enrollment. Surfacing: There is sufficient surfacing in fall zones on the playground. However, due to winter weather, the mulch has become somewhat compact. Plan to rake and fluff the mulch within a six foot radius around climbers to ensure sufficient depth is sustained. Criminal Background Check: The following staff are due to complete the Criminal Background Check 5 year recheck soon: K. Bates expires 9/24/26. K. Bates can begin the process to renew on 3/24/26. K. McCormack expires 9/30/26. K. McCormack can begin the process to renew on 3/30/26. CPR/First Aid: Z. Gosnell must receive CPR/First Aid training by 4/5/26. E. Contori has a CPR/First Aid training certificate on file that is not from an approved trainer. E. Contori must complete First Aid/CPR from an approved trainer by 6/1/26. Staff and Training Worksheet: There were several dates that were not accurately captured on the Staff and Training Worksheet. Please see below and make edits to the worksheet as needed to ensure accurate information is captured moving forward: Staff files: Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. The following discrepancies between the dates reviewed on files and Staff and Training Worksheets were noted: C. Gregory: First date of employment – no record EMC review – 1/2/26 Health and Safety training – 1/29/26 Application date -5/1/15 OP/PP – 5/1/15 B. Parrish: Recognizing and Responding to Suspicions of Child Maltreatment training - 10/29/25 Health and Safety Training – 1/30/26 EMC review – 1/2/26 EPR review – 1/2/26 EI – 1/2/26 Application – 5/1/15 OP/PP – 5/16/15 E. Conforti: CPR/First aid certificates are on file. The training was completed on 1/28/26 by American Health Care Academy, which is not on the approved agency list by DCDEE. OP/PP review – 3/3/26 C. Marvels 2wks orientation – 3/7/18 6wks orientation – 3/27/18 EPR review -8/20/25 EMC Review – 4/1/25 OP/PP review – 2/27/18 Health and Safety Training – 5/10/25 On-going training hours – 19 hours between 2/27/25 – 2/26/26 verified K. McCormack EI – 1/3/25 2 wks orientation -10/1/21 OP/PP – 9/28/21 Application – 9/2/21 EMC review – 9/9/25 On-going training hours -one (1) hour of training between 9/27/24 – 9/26/25 was verified. Z. Gosnell: 2-week orientation – 1/7/25 6-week orientation - 1/9/26 OP/PP review – 12/9/25 EPR review – 12/9/25 I. Killian: Health and Safety Training – 3/6/26 2 week orientation – 1/15/26 6 week orientation – 1/16/26 – missing provider section is all but one (1) section OP/PP review – 1/2/26 M. Campbell: On-going training requirements – 10 hours is required annually. Zero (0) hour was verified for 6/5/24 – 6/4/25 period. L. Martin: On-going training requirements – five (5) hours of training between 2/2/4/25 – 2/2/3/26 was verified. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0514 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 114 Completed Date: 3/25/2026 Age: From 1 To 6 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 Brookes Parrish, Owner, during the visit. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Parrish and Karina Fricker, Assistant Teacher, were 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-two percent (82%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Discovery Preschool, LLC, is current/active as of 3/23/26. Permit type – One (1) star license issued 10/16/25 Special Services/Restrictions – 1st shift (daytime care), children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 3/5/26. The last lockdown drill was practiced on 3/2/26. The last playground inspection was documented on 3/5/26. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. Plan to reach out to Environmental Health to ensure an inspection is conducted by 3/31/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. The facility does not provide transportation. Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. Upon arrival I was greeted by Ms. Parrish. In classroom space 1 and 2, children prepared to go outside by putting on coats. Once outside, children were observed climbing on a climber, and pushing various toys. In classroom space 3 and 4, children were exploring the outdoor learning environment. Children were observed exploring a maze, pretending to chop wood with child-sized shovels and hit balls with rackets. In classroom space 5, children were engaged in a large group show and tell activity. In classroom space 6, children were engaged in independent free choice center play. Children matched objects to pictures of sea animals, explored age-appropriate math manipulatives, and participated in a teacher-led collage name writing art project. In classroom space 7, children ate snack from home and engaged in various fine motor exercises such as moving objects with tongs, attaching fabric to a string with clothespins and matching lids to various containers. In classroom space 8, children built large structures with blocks, solved three dimensional puzzles and engaged in various fine motor exercises such as weaving ribbons and finding objects in a sensory box. 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 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) An infant feeding plan was not provided for one (1) thirteen-month-old child in classroom space 1. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space 2, one (1) diaper cream expired in 11/2025 and one (1) epipen expired on 1/31/26. .0803(12) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Six (6) staff did not complete the required on-going training hours according to their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 3/3/26, received three and a half (3.5) clock hours of orientation within the first two (2) weeks of employment. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/18/25, did not have an annual staff evaluation or staff development plan on file. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The Emergency Medical Care information was not updated annually for two (2) children. .0802(c) 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 Provider Portal. G.S. 110-90.2 & .2703(r) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. Five (5) lead teachers did not have a WORKS letter on file indicating they meet lead teacher education requirements within six (6) months of assuming lead teacher duties. .0703(d) Technical assistance was provided as follows: Item #540: The feeding plan was located during the visit and posted in the classroom during the visit today. This is corrected. Moving forward, plan to post all feeding plans by the child’s first day of attendance. Item #849: To reach compliance with this item, the medications must be discarded or returned to the parents. In your letter of compliance include a statement that indicates the medications have been discarded or returned to the parents. Item #1052: Staff must complete the annual on-going training hours according to their education and experience level listed in rule .1103(a). As a reminder, the training period is calculated from the anniversary of the hire date to the next anniversary of the hire date. For example, if a staff member was hired on 2/27/18, their last on-going training period would be calculated from 2/27/25 to 2/27/26. Due to the effects of Tropical Storm Helene, on-going training requirements were waived between October 2024 – April 2025. However, six (6) staff members did not complete sufficient on-going training hours outside of the exemption period. The follow staff must complete the hours listed below by your compliance due date of 4/8/26: C. Marvels- One (1) hour K. McCormack- Six (6) hours A. Seip- Six (6) hours M. Simpson- Eight (8) hours L. Martin- Twelve (12) hours M. Campbell- Two (2) hours Please note, trainings must be approved by the Division in order to count for on-going training hours. I have provided a resource for on-going training hours relevant to Montessori in the email containing this visit summary. Item #1067: New staff members must receive minimum of six (6) hours of orientation within first six (6) weeks. To comply, the staff member shall spend additional 2.5 hours on the topics listed under two-week orientation. Refer to 10A NCAC 09 .1101. In your compliance letter, please verify the completion of the orientation. Item #1232: Staff Development Plan and annual evaluation are required annually. To comply, you must complete staff development plan and annual evaluation for C. Carver and file them. In your compliance letter, please verify the completion staff development plan and annual evaluation. Item #1311: Emergency Medical Care on children’s applications must be updated annually. We discussed one (1) child who is leaving the facility within the next two (2) weeks. The other child listed on the children’s records form as missing the updated emergency medical care form will be in care through the end of the school year. To reach compliance with this item, the enrolled children must have an updated application with emergency medical care information on file. In your compliance letter, please verify the two (2) children have the updated information on file or that the children are no longer in attendance. Item #1805: To reach compliance with this item, the Administrator or Owner/Operator must complete the required training on Moodle to access the Provider Portal. Additionally, at least one (1) staff must be connected to the facility in order to reach compliance. A Technical Assistance document that includes click by click instructions was provided to you in the email containing this visit summary. In your letter of compliance, include a statement that indicates at least one (1) staff member has been connected to the facility in the ABCMS Provider Portal. Item #1889: The following lead teachers must submit their transcripts to WORKS but the compliance due date listed below: A. Seip K. Bates K. Edwards M. Gauthier K. McCormack Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/8/26. 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: Safe Sleep: We discussed that safe sleep rules apply to children twelve (12) months or younger. You stated you do enroll children who are twelve (12) months old. Currently, only children thirteen months old are present at the facility. If a child who is twelve (12) month old is present at the facility, safe sleep rules will apply. The following would need to be completed: -The Administrator and caregiving staff in rooms with twelve month old children would need ITS-SIDS training. -Sleep checks would need to be conducted every fifteen minutes for twelve month old children. -No blankets would be permitted for twelve month old children. -A safe sleep policy would need to be adopted by the facility and parents would be required to sign the policy at enrollment. Surfacing: There is sufficient surfacing in fall zones on the playground. However, due to winter weather, the mulch has become somewhat compact. Plan to rake and fluff the mulch within a six foot radius around climbers to ensure sufficient depth is sustained. Criminal Background Check: The following staff are due to complete the Criminal Background Check 5 year recheck soon: K. Bates expires 9/24/26. K. Bates can begin the process to renew on 3/24/26. K. McCormack expires 9/30/26. K. McCormack can begin the process to renew on 3/30/26. CPR/First Aid: Z. Gosnell must receive CPR/First Aid training by 4/5/26. E. Contori has a CPR/First Aid training certificate on file that is not from an approved trainer. E. Contori must complete First Aid/CPR from an approved trainer by 6/1/26. Staff and Training Worksheet: There were several dates that were not accurately captured on the Staff and Training Worksheet. Please see below and make edits to the worksheet as needed to ensure accurate information is captured moving forward: Staff files: Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. The following discrepancies between the dates reviewed on files and Staff and Training Worksheets were noted: C. Gregory: First date of employment – no record EMC review – 1/2/26 Health and Safety training – 1/29/26 Application date -5/1/15 OP/PP – 5/1/15 B. Parrish: Recognizing and Responding to Suspicions of Child Maltreatment training - 10/29/25 Health and Safety Training – 1/30/26 EMC review – 1/2/26 EPR review – 1/2/26 EI – 1/2/26 Application – 5/1/15 OP/PP – 5/16/15 E. Conforti: CPR/First aid certificates are on file. The training was completed on 1/28/26 by American Health Care Academy, which is not on the approved agency list by DCDEE. OP/PP review – 3/3/26 C. Marvels 2wks orientation – 3/7/18 6wks orientation – 3/27/18 EPR review -8/20/25 EMC Review – 4/1/25 OP/PP review – 2/27/18 Health and Safety Training – 5/10/25 On-going training hours – 19 hours between 2/27/25 – 2/26/26 verified K. McCormack EI – 1/3/25 2 wks orientation -10/1/21 OP/PP – 9/28/21 Application – 9/2/21 EMC review – 9/9/25 On-going training hours -one (1) hour of training between 9/27/24 – 9/26/25 was verified. Z. Gosnell: 2-week orientation – 1/7/25 6-week orientation - 1/9/26 OP/PP review – 12/9/25 EPR review – 12/9/25 I. Killian: Health and Safety Training – 3/6/26 2 week orientation – 1/15/26 6 week orientation – 1/16/26 – missing provider section is all but one (1) section OP/PP review – 1/2/26 M. Campbell: On-going training requirements – 10 hours is required annually. Zero (0) hour was verified for 6/5/24 – 6/4/25 period. L. Martin: On-going training requirements – five (5) hours of training between 2/2/4/25 – 2/2/3/26 was verified. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1101 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 114 Completed Date: 3/25/2026 Age: From 1 To 6 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 Brookes Parrish, Owner, during the visit. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Parrish and Karina Fricker, Assistant Teacher, were 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-two percent (82%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Discovery Preschool, LLC, is current/active as of 3/23/26. Permit type – One (1) star license issued 10/16/25 Special Services/Restrictions – 1st shift (daytime care), children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 3/5/26. The last lockdown drill was practiced on 3/2/26. The last playground inspection was documented on 3/5/26. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. Plan to reach out to Environmental Health to ensure an inspection is conducted by 3/31/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. The facility does not provide transportation. Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. Upon arrival I was greeted by Ms. Parrish. In classroom space 1 and 2, children prepared to go outside by putting on coats. Once outside, children were observed climbing on a climber, and pushing various toys. In classroom space 3 and 4, children were exploring the outdoor learning environment. Children were observed exploring a maze, pretending to chop wood with child-sized shovels and hit balls with rackets. In classroom space 5, children were engaged in a large group show and tell activity. In classroom space 6, children were engaged in independent free choice center play. Children matched objects to pictures of sea animals, explored age-appropriate math manipulatives, and participated in a teacher-led collage name writing art project. In classroom space 7, children ate snack from home and engaged in various fine motor exercises such as moving objects with tongs, attaching fabric to a string with clothespins and matching lids to various containers. In classroom space 8, children built large structures with blocks, solved three dimensional puzzles and engaged in various fine motor exercises such as weaving ribbons and finding objects in a sensory box. 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 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) An infant feeding plan was not provided for one (1) thirteen-month-old child in classroom space 1. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space 2, one (1) diaper cream expired in 11/2025 and one (1) epipen expired on 1/31/26. .0803(12) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Six (6) staff did not complete the required on-going training hours according to their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 3/3/26, received three and a half (3.5) clock hours of orientation within the first two (2) weeks of employment. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/18/25, did not have an annual staff evaluation or staff development plan on file. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The Emergency Medical Care information was not updated annually for two (2) children. .0802(c) 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 Provider Portal. G.S. 110-90.2 & .2703(r) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. Five (5) lead teachers did not have a WORKS letter on file indicating they meet lead teacher education requirements within six (6) months of assuming lead teacher duties. .0703(d) Technical assistance was provided as follows: Item #540: The feeding plan was located during the visit and posted in the classroom during the visit today. This is corrected. Moving forward, plan to post all feeding plans by the child’s first day of attendance. Item #849: To reach compliance with this item, the medications must be discarded or returned to the parents. In your letter of compliance include a statement that indicates the medications have been discarded or returned to the parents. Item #1052: Staff must complete the annual on-going training hours according to their education and experience level listed in rule .1103(a). As a reminder, the training period is calculated from the anniversary of the hire date to the next anniversary of the hire date. For example, if a staff member was hired on 2/27/18, their last on-going training period would be calculated from 2/27/25 to 2/27/26. Due to the effects of Tropical Storm Helene, on-going training requirements were waived between October 2024 – April 2025. However, six (6) staff members did not complete sufficient on-going training hours outside of the exemption period. The follow staff must complete the hours listed below by your compliance due date of 4/8/26: C. Marvels- One (1) hour K. McCormack- Six (6) hours A. Seip- Six (6) hours M. Simpson- Eight (8) hours L. Martin- Twelve (12) hours M. Campbell- Two (2) hours Please note, trainings must be approved by the Division in order to count for on-going training hours. I have provided a resource for on-going training hours relevant to Montessori in the email containing this visit summary. Item #1067: New staff members must receive minimum of six (6) hours of orientation within first six (6) weeks. To comply, the staff member shall spend additional 2.5 hours on the topics listed under two-week orientation. Refer to 10A NCAC 09 .1101. In your compliance letter, please verify the completion of the orientation. Item #1232: Staff Development Plan and annual evaluation are required annually. To comply, you must complete staff development plan and annual evaluation for C. Carver and file them. In your compliance letter, please verify the completion staff development plan and annual evaluation. Item #1311: Emergency Medical Care on children’s applications must be updated annually. We discussed one (1) child who is leaving the facility within the next two (2) weeks. The other child listed on the children’s records form as missing the updated emergency medical care form will be in care through the end of the school year. To reach compliance with this item, the enrolled children must have an updated application with emergency medical care information on file. In your compliance letter, please verify the two (2) children have the updated information on file or that the children are no longer in attendance. Item #1805: To reach compliance with this item, the Administrator or Owner/Operator must complete the required training on Moodle to access the Provider Portal. Additionally, at least one (1) staff must be connected to the facility in order to reach compliance. A Technical Assistance document that includes click by click instructions was provided to you in the email containing this visit summary. In your letter of compliance, include a statement that indicates at least one (1) staff member has been connected to the facility in the ABCMS Provider Portal. Item #1889: The following lead teachers must submit their transcripts to WORKS but the compliance due date listed below: A. Seip K. Bates K. Edwards M. Gauthier K. McCormack Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/8/26. 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: Safe Sleep: We discussed that safe sleep rules apply to children twelve (12) months or younger. You stated you do enroll children who are twelve (12) months old. Currently, only children thirteen months old are present at the facility. If a child who is twelve (12) month old is present at the facility, safe sleep rules will apply. The following would need to be completed: -The Administrator and caregiving staff in rooms with twelve month old children would need ITS-SIDS training. -Sleep checks would need to be conducted every fifteen minutes for twelve month old children. -No blankets would be permitted for twelve month old children. -A safe sleep policy would need to be adopted by the facility and parents would be required to sign the policy at enrollment. Surfacing: There is sufficient surfacing in fall zones on the playground. However, due to winter weather, the mulch has become somewhat compact. Plan to rake and fluff the mulch within a six foot radius around climbers to ensure sufficient depth is sustained. Criminal Background Check: The following staff are due to complete the Criminal Background Check 5 year recheck soon: K. Bates expires 9/24/26. K. Bates can begin the process to renew on 3/24/26. K. McCormack expires 9/30/26. K. McCormack can begin the process to renew on 3/30/26. CPR/First Aid: Z. Gosnell must receive CPR/First Aid training by 4/5/26. E. Contori has a CPR/First Aid training certificate on file that is not from an approved trainer. E. Contori must complete First Aid/CPR from an approved trainer by 6/1/26. Staff and Training Worksheet: There were several dates that were not accurately captured on the Staff and Training Worksheet. Please see below and make edits to the worksheet as needed to ensure accurate information is captured moving forward: Staff files: Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. The following discrepancies between the dates reviewed on files and Staff and Training Worksheets were noted: C. Gregory: First date of employment – no record EMC review – 1/2/26 Health and Safety training – 1/29/26 Application date -5/1/15 OP/PP – 5/1/15 B. Parrish: Recognizing and Responding to Suspicions of Child Maltreatment training - 10/29/25 Health and Safety Training – 1/30/26 EMC review – 1/2/26 EPR review – 1/2/26 EI – 1/2/26 Application – 5/1/15 OP/PP – 5/16/15 E. Conforti: CPR/First aid certificates are on file. The training was completed on 1/28/26 by American Health Care Academy, which is not on the approved agency list by DCDEE. OP/PP review – 3/3/26 C. Marvels 2wks orientation – 3/7/18 6wks orientation – 3/27/18 EPR review -8/20/25 EMC Review – 4/1/25 OP/PP review – 2/27/18 Health and Safety Training – 5/10/25 On-going training hours – 19 hours between 2/27/25 – 2/26/26 verified K. McCormack EI – 1/3/25 2 wks orientation -10/1/21 OP/PP – 9/28/21 Application – 9/2/21 EMC review – 9/9/25 On-going training hours -one (1) hour of training between 9/27/24 – 9/26/25 was verified. Z. Gosnell: 2-week orientation – 1/7/25 6-week orientation - 1/9/26 OP/PP review – 12/9/25 EPR review – 12/9/25 I. Killian: Health and Safety Training – 3/6/26 2 week orientation – 1/15/26 6 week orientation – 1/16/26 – missing provider section is all but one (1) section OP/PP review – 1/2/26 M. Campbell: On-going training requirements – 10 hours is required annually. Zero (0) hour was verified for 6/5/24 – 6/4/25 period. L. Martin: On-going training requirements – five (5) hours of training between 2/2/4/25 – 2/2/3/26 was verified. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 114 Completed Date: 3/25/2026 Age: From 1 To 6 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 Brookes Parrish, Owner, during the visit. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Parrish and Karina Fricker, Assistant Teacher, were 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-two percent (82%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Discovery Preschool, LLC, is current/active as of 3/23/26. Permit type – One (1) star license issued 10/16/25 Special Services/Restrictions – 1st shift (daytime care), children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 3/5/26. The last lockdown drill was practiced on 3/2/26. The last playground inspection was documented on 3/5/26. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. Plan to reach out to Environmental Health to ensure an inspection is conducted by 3/31/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. The facility does not provide transportation. Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. Upon arrival I was greeted by Ms. Parrish. In classroom space 1 and 2, children prepared to go outside by putting on coats. Once outside, children were observed climbing on a climber, and pushing various toys. In classroom space 3 and 4, children were exploring the outdoor learning environment. Children were observed exploring a maze, pretending to chop wood with child-sized shovels and hit balls with rackets. In classroom space 5, children were engaged in a large group show and tell activity. In classroom space 6, children were engaged in independent free choice center play. Children matched objects to pictures of sea animals, explored age-appropriate math manipulatives, and participated in a teacher-led collage name writing art project. In classroom space 7, children ate snack from home and engaged in various fine motor exercises such as moving objects with tongs, attaching fabric to a string with clothespins and matching lids to various containers. In classroom space 8, children built large structures with blocks, solved three dimensional puzzles and engaged in various fine motor exercises such as weaving ribbons and finding objects in a sensory box. 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 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) An infant feeding plan was not provided for one (1) thirteen-month-old child in classroom space 1. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space 2, one (1) diaper cream expired in 11/2025 and one (1) epipen expired on 1/31/26. .0803(12) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Six (6) staff did not complete the required on-going training hours according to their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 3/3/26, received three and a half (3.5) clock hours of orientation within the first two (2) weeks of employment. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/18/25, did not have an annual staff evaluation or staff development plan on file. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The Emergency Medical Care information was not updated annually for two (2) children. .0802(c) 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 Provider Portal. G.S. 110-90.2 & .2703(r) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. Five (5) lead teachers did not have a WORKS letter on file indicating they meet lead teacher education requirements within six (6) months of assuming lead teacher duties. .0703(d) Technical assistance was provided as follows: Item #540: The feeding plan was located during the visit and posted in the classroom during the visit today. This is corrected. Moving forward, plan to post all feeding plans by the child’s first day of attendance. Item #849: To reach compliance with this item, the medications must be discarded or returned to the parents. In your letter of compliance include a statement that indicates the medications have been discarded or returned to the parents. Item #1052: Staff must complete the annual on-going training hours according to their education and experience level listed in rule .1103(a). As a reminder, the training period is calculated from the anniversary of the hire date to the next anniversary of the hire date. For example, if a staff member was hired on 2/27/18, their last on-going training period would be calculated from 2/27/25 to 2/27/26. Due to the effects of Tropical Storm Helene, on-going training requirements were waived between October 2024 – April 2025. However, six (6) staff members did not complete sufficient on-going training hours outside of the exemption period. The follow staff must complete the hours listed below by your compliance due date of 4/8/26: C. Marvels- One (1) hour K. McCormack- Six (6) hours A. Seip- Six (6) hours M. Simpson- Eight (8) hours L. Martin- Twelve (12) hours M. Campbell- Two (2) hours Please note, trainings must be approved by the Division in order to count for on-going training hours. I have provided a resource for on-going training hours relevant to Montessori in the email containing this visit summary. Item #1067: New staff members must receive minimum of six (6) hours of orientation within first six (6) weeks. To comply, the staff member shall spend additional 2.5 hours on the topics listed under two-week orientation. Refer to 10A NCAC 09 .1101. In your compliance letter, please verify the completion of the orientation. Item #1232: Staff Development Plan and annual evaluation are required annually. To comply, you must complete staff development plan and annual evaluation for C. Carver and file them. In your compliance letter, please verify the completion staff development plan and annual evaluation. Item #1311: Emergency Medical Care on children’s applications must be updated annually. We discussed one (1) child who is leaving the facility within the next two (2) weeks. The other child listed on the children’s records form as missing the updated emergency medical care form will be in care through the end of the school year. To reach compliance with this item, the enrolled children must have an updated application with emergency medical care information on file. In your compliance letter, please verify the two (2) children have the updated information on file or that the children are no longer in attendance. Item #1805: To reach compliance with this item, the Administrator or Owner/Operator must complete the required training on Moodle to access the Provider Portal. Additionally, at least one (1) staff must be connected to the facility in order to reach compliance. A Technical Assistance document that includes click by click instructions was provided to you in the email containing this visit summary. In your letter of compliance, include a statement that indicates at least one (1) staff member has been connected to the facility in the ABCMS Provider Portal. Item #1889: The following lead teachers must submit their transcripts to WORKS but the compliance due date listed below: A. Seip K. Bates K. Edwards M. Gauthier K. McCormack Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/8/26. 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: Safe Sleep: We discussed that safe sleep rules apply to children twelve (12) months or younger. You stated you do enroll children who are twelve (12) months old. Currently, only children thirteen months old are present at the facility. If a child who is twelve (12) month old is present at the facility, safe sleep rules will apply. The following would need to be completed: -The Administrator and caregiving staff in rooms with twelve month old children would need ITS-SIDS training. -Sleep checks would need to be conducted every fifteen minutes for twelve month old children. -No blankets would be permitted for twelve month old children. -A safe sleep policy would need to be adopted by the facility and parents would be required to sign the policy at enrollment. Surfacing: There is sufficient surfacing in fall zones on the playground. However, due to winter weather, the mulch has become somewhat compact. Plan to rake and fluff the mulch within a six foot radius around climbers to ensure sufficient depth is sustained. Criminal Background Check: The following staff are due to complete the Criminal Background Check 5 year recheck soon: K. Bates expires 9/24/26. K. Bates can begin the process to renew on 3/24/26. K. McCormack expires 9/30/26. K. McCormack can begin the process to renew on 3/30/26. CPR/First Aid: Z. Gosnell must receive CPR/First Aid training by 4/5/26. E. Contori has a CPR/First Aid training certificate on file that is not from an approved trainer. E. Contori must complete First Aid/CPR from an approved trainer by 6/1/26. Staff and Training Worksheet: There were several dates that were not accurately captured on the Staff and Training Worksheet. Please see below and make edits to the worksheet as needed to ensure accurate information is captured moving forward: Staff files: Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. The following discrepancies between the dates reviewed on files and Staff and Training Worksheets were noted: C. Gregory: First date of employment – no record EMC review – 1/2/26 Health and Safety training – 1/29/26 Application date -5/1/15 OP/PP – 5/1/15 B. Parrish: Recognizing and Responding to Suspicions of Child Maltreatment training - 10/29/25 Health and Safety Training – 1/30/26 EMC review – 1/2/26 EPR review – 1/2/26 EI – 1/2/26 Application – 5/1/15 OP/PP – 5/16/15 E. Conforti: CPR/First aid certificates are on file. The training was completed on 1/28/26 by American Health Care Academy, which is not on the approved agency list by DCDEE. OP/PP review – 3/3/26 C. Marvels 2wks orientation – 3/7/18 6wks orientation – 3/27/18 EPR review -8/20/25 EMC Review – 4/1/25 OP/PP review – 2/27/18 Health and Safety Training – 5/10/25 On-going training hours – 19 hours between 2/27/25 – 2/26/26 verified K. McCormack EI – 1/3/25 2 wks orientation -10/1/21 OP/PP – 9/28/21 Application – 9/2/21 EMC review – 9/9/25 On-going training hours -one (1) hour of training between 9/27/24 – 9/26/25 was verified. Z. Gosnell: 2-week orientation – 1/7/25 6-week orientation - 1/9/26 OP/PP review – 12/9/25 EPR review – 12/9/25 I. Killian: Health and Safety Training – 3/6/26 2 week orientation – 1/15/26 6 week orientation – 1/16/26 – missing provider section is all but one (1) section OP/PP review – 1/2/26 M. Campbell: On-going training requirements – 10 hours is required annually. Zero (0) hour was verified for 6/5/24 – 6/4/25 period. L. Martin: On-going training requirements – five (5) hours of training between 2/2/4/25 – 2/2/3/26 was verified. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 114 Completed Date: 3/25/2026 Age: From 1 To 6 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 Brookes Parrish, Owner, during the visit. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Parrish and Karina Fricker, Assistant Teacher, were 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-two percent (82%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Discovery Preschool, LLC, is current/active as of 3/23/26. Permit type – One (1) star license issued 10/16/25 Special Services/Restrictions – 1st shift (daytime care), children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 3/5/26. The last lockdown drill was practiced on 3/2/26. The last playground inspection was documented on 3/5/26. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. Plan to reach out to Environmental Health to ensure an inspection is conducted by 3/31/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. The facility does not provide transportation. Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. Upon arrival I was greeted by Ms. Parrish. In classroom space 1 and 2, children prepared to go outside by putting on coats. Once outside, children were observed climbing on a climber, and pushing various toys. In classroom space 3 and 4, children were exploring the outdoor learning environment. Children were observed exploring a maze, pretending to chop wood with child-sized shovels and hit balls with rackets. In classroom space 5, children were engaged in a large group show and tell activity. In classroom space 6, children were engaged in independent free choice center play. Children matched objects to pictures of sea animals, explored age-appropriate math manipulatives, and participated in a teacher-led collage name writing art project. In classroom space 7, children ate snack from home and engaged in various fine motor exercises such as moving objects with tongs, attaching fabric to a string with clothespins and matching lids to various containers. In classroom space 8, children built large structures with blocks, solved three dimensional puzzles and engaged in various fine motor exercises such as weaving ribbons and finding objects in a sensory box. 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 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) An infant feeding plan was not provided for one (1) thirteen-month-old child in classroom space 1. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space 2, one (1) diaper cream expired in 11/2025 and one (1) epipen expired on 1/31/26. .0803(12) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Six (6) staff did not complete the required on-going training hours according to their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 3/3/26, received three and a half (3.5) clock hours of orientation within the first two (2) weeks of employment. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/18/25, did not have an annual staff evaluation or staff development plan on file. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The Emergency Medical Care information was not updated annually for two (2) children. .0802(c) 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 Provider Portal. G.S. 110-90.2 & .2703(r) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. Five (5) lead teachers did not have a WORKS letter on file indicating they meet lead teacher education requirements within six (6) months of assuming lead teacher duties. .0703(d) Technical assistance was provided as follows: Item #540: The feeding plan was located during the visit and posted in the classroom during the visit today. This is corrected. Moving forward, plan to post all feeding plans by the child’s first day of attendance. Item #849: To reach compliance with this item, the medications must be discarded or returned to the parents. In your letter of compliance include a statement that indicates the medications have been discarded or returned to the parents. Item #1052: Staff must complete the annual on-going training hours according to their education and experience level listed in rule .1103(a). As a reminder, the training period is calculated from the anniversary of the hire date to the next anniversary of the hire date. For example, if a staff member was hired on 2/27/18, their last on-going training period would be calculated from 2/27/25 to 2/27/26. Due to the effects of Tropical Storm Helene, on-going training requirements were waived between October 2024 – April 2025. However, six (6) staff members did not complete sufficient on-going training hours outside of the exemption period. The follow staff must complete the hours listed below by your compliance due date of 4/8/26: C. Marvels- One (1) hour K. McCormack- Six (6) hours A. Seip- Six (6) hours M. Simpson- Eight (8) hours L. Martin- Twelve (12) hours M. Campbell- Two (2) hours Please note, trainings must be approved by the Division in order to count for on-going training hours. I have provided a resource for on-going training hours relevant to Montessori in the email containing this visit summary. Item #1067: New staff members must receive minimum of six (6) hours of orientation within first six (6) weeks. To comply, the staff member shall spend additional 2.5 hours on the topics listed under two-week orientation. Refer to 10A NCAC 09 .1101. In your compliance letter, please verify the completion of the orientation. Item #1232: Staff Development Plan and annual evaluation are required annually. To comply, you must complete staff development plan and annual evaluation for C. Carver and file them. In your compliance letter, please verify the completion staff development plan and annual evaluation. Item #1311: Emergency Medical Care on children’s applications must be updated annually. We discussed one (1) child who is leaving the facility within the next two (2) weeks. The other child listed on the children’s records form as missing the updated emergency medical care form will be in care through the end of the school year. To reach compliance with this item, the enrolled children must have an updated application with emergency medical care information on file. In your compliance letter, please verify the two (2) children have the updated information on file or that the children are no longer in attendance. Item #1805: To reach compliance with this item, the Administrator or Owner/Operator must complete the required training on Moodle to access the Provider Portal. Additionally, at least one (1) staff must be connected to the facility in order to reach compliance. A Technical Assistance document that includes click by click instructions was provided to you in the email containing this visit summary. In your letter of compliance, include a statement that indicates at least one (1) staff member has been connected to the facility in the ABCMS Provider Portal. Item #1889: The following lead teachers must submit their transcripts to WORKS but the compliance due date listed below: A. Seip K. Bates K. Edwards M. Gauthier K. McCormack Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/8/26. 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: Safe Sleep: We discussed that safe sleep rules apply to children twelve (12) months or younger. You stated you do enroll children who are twelve (12) months old. Currently, only children thirteen months old are present at the facility. If a child who is twelve (12) month old is present at the facility, safe sleep rules will apply. The following would need to be completed: -The Administrator and caregiving staff in rooms with twelve month old children would need ITS-SIDS training. -Sleep checks would need to be conducted every fifteen minutes for twelve month old children. -No blankets would be permitted for twelve month old children. -A safe sleep policy would need to be adopted by the facility and parents would be required to sign the policy at enrollment. Surfacing: There is sufficient surfacing in fall zones on the playground. However, due to winter weather, the mulch has become somewhat compact. Plan to rake and fluff the mulch within a six foot radius around climbers to ensure sufficient depth is sustained. Criminal Background Check: The following staff are due to complete the Criminal Background Check 5 year recheck soon: K. Bates expires 9/24/26. K. Bates can begin the process to renew on 3/24/26. K. McCormack expires 9/30/26. K. McCormack can begin the process to renew on 3/30/26. CPR/First Aid: Z. Gosnell must receive CPR/First Aid training by 4/5/26. E. Contori has a CPR/First Aid training certificate on file that is not from an approved trainer. E. Contori must complete First Aid/CPR from an approved trainer by 6/1/26. Staff and Training Worksheet: There were several dates that were not accurately captured on the Staff and Training Worksheet. Please see below and make edits to the worksheet as needed to ensure accurate information is captured moving forward: Staff files: Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. The following discrepancies between the dates reviewed on files and Staff and Training Worksheets were noted: C. Gregory: First date of employment – no record EMC review – 1/2/26 Health and Safety training – 1/29/26 Application date -5/1/15 OP/PP – 5/1/15 B. Parrish: Recognizing and Responding to Suspicions of Child Maltreatment training - 10/29/25 Health and Safety Training – 1/30/26 EMC review – 1/2/26 EPR review – 1/2/26 EI – 1/2/26 Application – 5/1/15 OP/PP – 5/16/15 E. Conforti: CPR/First aid certificates are on file. The training was completed on 1/28/26 by American Health Care Academy, which is not on the approved agency list by DCDEE. OP/PP review – 3/3/26 C. Marvels 2wks orientation – 3/7/18 6wks orientation – 3/27/18 EPR review -8/20/25 EMC Review – 4/1/25 OP/PP review – 2/27/18 Health and Safety Training – 5/10/25 On-going training hours – 19 hours between 2/27/25 – 2/26/26 verified K. McCormack EI – 1/3/25 2 wks orientation -10/1/21 OP/PP – 9/28/21 Application – 9/2/21 EMC review – 9/9/25 On-going training hours -one (1) hour of training between 9/27/24 – 9/26/25 was verified. Z. Gosnell: 2-week orientation – 1/7/25 6-week orientation - 1/9/26 OP/PP review – 12/9/25 EPR review – 12/9/25 I. Killian: Health and Safety Training – 3/6/26 2 week orientation – 1/15/26 6 week orientation – 1/16/26 – missing provider section is all but one (1) section OP/PP review – 1/2/26 M. Campbell: On-going training requirements – 10 hours is required annually. Zero (0) hour was verified for 6/5/24 – 6/4/25 period. L. Martin: On-going training requirements – five (5) hours of training between 2/2/4/25 – 2/2/3/26 was verified. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .3222 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 114 Completed Date: 3/25/2026 Age: From 1 To 6 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 Brookes Parrish, Owner, during the visit. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Parrish and Karina Fricker, Assistant Teacher, were 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-two percent (82%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Discovery Preschool, LLC, is current/active as of 3/23/26. Permit type – One (1) star license issued 10/16/25 Special Services/Restrictions – 1st shift (daytime care), children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 3/5/26. The last lockdown drill was practiced on 3/2/26. The last playground inspection was documented on 3/5/26. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. Plan to reach out to Environmental Health to ensure an inspection is conducted by 3/31/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. The facility does not provide transportation. Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. Upon arrival I was greeted by Ms. Parrish. In classroom space 1 and 2, children prepared to go outside by putting on coats. Once outside, children were observed climbing on a climber, and pushing various toys. In classroom space 3 and 4, children were exploring the outdoor learning environment. Children were observed exploring a maze, pretending to chop wood with child-sized shovels and hit balls with rackets. In classroom space 5, children were engaged in a large group show and tell activity. In classroom space 6, children were engaged in independent free choice center play. Children matched objects to pictures of sea animals, explored age-appropriate math manipulatives, and participated in a teacher-led collage name writing art project. In classroom space 7, children ate snack from home and engaged in various fine motor exercises such as moving objects with tongs, attaching fabric to a string with clothespins and matching lids to various containers. In classroom space 8, children built large structures with blocks, solved three dimensional puzzles and engaged in various fine motor exercises such as weaving ribbons and finding objects in a sensory box. 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 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) An infant feeding plan was not provided for one (1) thirteen-month-old child in classroom space 1. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space 2, one (1) diaper cream expired in 11/2025 and one (1) epipen expired on 1/31/26. .0803(12) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Six (6) staff did not complete the required on-going training hours according to their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 3/3/26, received three and a half (3.5) clock hours of orientation within the first two (2) weeks of employment. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/18/25, did not have an annual staff evaluation or staff development plan on file. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The Emergency Medical Care information was not updated annually for two (2) children. .0802(c) 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 Provider Portal. G.S. 110-90.2 & .2703(r) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. Five (5) lead teachers did not have a WORKS letter on file indicating they meet lead teacher education requirements within six (6) months of assuming lead teacher duties. .0703(d) Technical assistance was provided as follows: Item #540: The feeding plan was located during the visit and posted in the classroom during the visit today. This is corrected. Moving forward, plan to post all feeding plans by the child’s first day of attendance. Item #849: To reach compliance with this item, the medications must be discarded or returned to the parents. In your letter of compliance include a statement that indicates the medications have been discarded or returned to the parents. Item #1052: Staff must complete the annual on-going training hours according to their education and experience level listed in rule .1103(a). As a reminder, the training period is calculated from the anniversary of the hire date to the next anniversary of the hire date. For example, if a staff member was hired on 2/27/18, their last on-going training period would be calculated from 2/27/25 to 2/27/26. Due to the effects of Tropical Storm Helene, on-going training requirements were waived between October 2024 – April 2025. However, six (6) staff members did not complete sufficient on-going training hours outside of the exemption period. The follow staff must complete the hours listed below by your compliance due date of 4/8/26: C. Marvels- One (1) hour K. McCormack- Six (6) hours A. Seip- Six (6) hours M. Simpson- Eight (8) hours L. Martin- Twelve (12) hours M. Campbell- Two (2) hours Please note, trainings must be approved by the Division in order to count for on-going training hours. I have provided a resource for on-going training hours relevant to Montessori in the email containing this visit summary. Item #1067: New staff members must receive minimum of six (6) hours of orientation within first six (6) weeks. To comply, the staff member shall spend additional 2.5 hours on the topics listed under two-week orientation. Refer to 10A NCAC 09 .1101. In your compliance letter, please verify the completion of the orientation. Item #1232: Staff Development Plan and annual evaluation are required annually. To comply, you must complete staff development plan and annual evaluation for C. Carver and file them. In your compliance letter, please verify the completion staff development plan and annual evaluation. Item #1311: Emergency Medical Care on children’s applications must be updated annually. We discussed one (1) child who is leaving the facility within the next two (2) weeks. The other child listed on the children’s records form as missing the updated emergency medical care form will be in care through the end of the school year. To reach compliance with this item, the enrolled children must have an updated application with emergency medical care information on file. In your compliance letter, please verify the two (2) children have the updated information on file or that the children are no longer in attendance. Item #1805: To reach compliance with this item, the Administrator or Owner/Operator must complete the required training on Moodle to access the Provider Portal. Additionally, at least one (1) staff must be connected to the facility in order to reach compliance. A Technical Assistance document that includes click by click instructions was provided to you in the email containing this visit summary. In your letter of compliance, include a statement that indicates at least one (1) staff member has been connected to the facility in the ABCMS Provider Portal. Item #1889: The following lead teachers must submit their transcripts to WORKS but the compliance due date listed below: A. Seip K. Bates K. Edwards M. Gauthier K. McCormack Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/8/26. 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: Safe Sleep: We discussed that safe sleep rules apply to children twelve (12) months or younger. You stated you do enroll children who are twelve (12) months old. Currently, only children thirteen months old are present at the facility. If a child who is twelve (12) month old is present at the facility, safe sleep rules will apply. The following would need to be completed: -The Administrator and caregiving staff in rooms with twelve month old children would need ITS-SIDS training. -Sleep checks would need to be conducted every fifteen minutes for twelve month old children. -No blankets would be permitted for twelve month old children. -A safe sleep policy would need to be adopted by the facility and parents would be required to sign the policy at enrollment. Surfacing: There is sufficient surfacing in fall zones on the playground. However, due to winter weather, the mulch has become somewhat compact. Plan to rake and fluff the mulch within a six foot radius around climbers to ensure sufficient depth is sustained. Criminal Background Check: The following staff are due to complete the Criminal Background Check 5 year recheck soon: K. Bates expires 9/24/26. K. Bates can begin the process to renew on 3/24/26. K. McCormack expires 9/30/26. K. McCormack can begin the process to renew on 3/30/26. CPR/First Aid: Z. Gosnell must receive CPR/First Aid training by 4/5/26. E. Contori has a CPR/First Aid training certificate on file that is not from an approved trainer. E. Contori must complete First Aid/CPR from an approved trainer by 6/1/26. Staff and Training Worksheet: There were several dates that were not accurately captured on the Staff and Training Worksheet. Please see below and make edits to the worksheet as needed to ensure accurate information is captured moving forward: Staff files: Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. The following discrepancies between the dates reviewed on files and Staff and Training Worksheets were noted: C. Gregory: First date of employment – no record EMC review – 1/2/26 Health and Safety training – 1/29/26 Application date -5/1/15 OP/PP – 5/1/15 B. Parrish: Recognizing and Responding to Suspicions of Child Maltreatment training - 10/29/25 Health and Safety Training – 1/30/26 EMC review – 1/2/26 EPR review – 1/2/26 EI – 1/2/26 Application – 5/1/15 OP/PP – 5/16/15 E. Conforti: CPR/First aid certificates are on file. The training was completed on 1/28/26 by American Health Care Academy, which is not on the approved agency list by DCDEE. OP/PP review – 3/3/26 C. Marvels 2wks orientation – 3/7/18 6wks orientation – 3/27/18 EPR review -8/20/25 EMC Review – 4/1/25 OP/PP review – 2/27/18 Health and Safety Training – 5/10/25 On-going training hours – 19 hours between 2/27/25 – 2/26/26 verified K. McCormack EI – 1/3/25 2 wks orientation -10/1/21 OP/PP – 9/28/21 Application – 9/2/21 EMC review – 9/9/25 On-going training hours -one (1) hour of training between 9/27/24 – 9/26/25 was verified. Z. Gosnell: 2-week orientation – 1/7/25 6-week orientation - 1/9/26 OP/PP review – 12/9/25 EPR review – 12/9/25 I. Killian: Health and Safety Training – 3/6/26 2 week orientation – 1/15/26 6 week orientation – 1/16/26 – missing provider section is all but one (1) section OP/PP review – 1/2/26 M. Campbell: On-going training requirements – 10 hours is required annually. Zero (0) hour was verified for 6/5/24 – 6/4/25 period. L. Martin: On-going training requirements – five (5) hours of training between 2/2/4/25 – 2/2/3/26 was verified. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 114 Completed Date: 3/25/2026 Age: From 1 To 6 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 Brookes Parrish, Owner, during the visit. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Parrish and Karina Fricker, Assistant Teacher, were 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-two percent (82%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Discovery Preschool, LLC, is current/active as of 3/23/26. Permit type – One (1) star license issued 10/16/25 Special Services/Restrictions – 1st shift (daytime care), children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 3/5/26. The last lockdown drill was practiced on 3/2/26. The last playground inspection was documented on 3/5/26. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. Plan to reach out to Environmental Health to ensure an inspection is conducted by 3/31/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. The facility does not provide transportation. Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. Upon arrival I was greeted by Ms. Parrish. In classroom space 1 and 2, children prepared to go outside by putting on coats. Once outside, children were observed climbing on a climber, and pushing various toys. In classroom space 3 and 4, children were exploring the outdoor learning environment. Children were observed exploring a maze, pretending to chop wood with child-sized shovels and hit balls with rackets. In classroom space 5, children were engaged in a large group show and tell activity. In classroom space 6, children were engaged in independent free choice center play. Children matched objects to pictures of sea animals, explored age-appropriate math manipulatives, and participated in a teacher-led collage name writing art project. In classroom space 7, children ate snack from home and engaged in various fine motor exercises such as moving objects with tongs, attaching fabric to a string with clothespins and matching lids to various containers. In classroom space 8, children built large structures with blocks, solved three dimensional puzzles and engaged in various fine motor exercises such as weaving ribbons and finding objects in a sensory box. 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 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) An infant feeding plan was not provided for one (1) thirteen-month-old child in classroom space 1. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space 2, one (1) diaper cream expired in 11/2025 and one (1) epipen expired on 1/31/26. .0803(12) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Six (6) staff did not complete the required on-going training hours according to their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 3/3/26, received three and a half (3.5) clock hours of orientation within the first two (2) weeks of employment. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/18/25, did not have an annual staff evaluation or staff development plan on file. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The Emergency Medical Care information was not updated annually for two (2) children. .0802(c) 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 Provider Portal. G.S. 110-90.2 & .2703(r) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. Five (5) lead teachers did not have a WORKS letter on file indicating they meet lead teacher education requirements within six (6) months of assuming lead teacher duties. .0703(d) Technical assistance was provided as follows: Item #540: The feeding plan was located during the visit and posted in the classroom during the visit today. This is corrected. Moving forward, plan to post all feeding plans by the child’s first day of attendance. Item #849: To reach compliance with this item, the medications must be discarded or returned to the parents. In your letter of compliance include a statement that indicates the medications have been discarded or returned to the parents. Item #1052: Staff must complete the annual on-going training hours according to their education and experience level listed in rule .1103(a). As a reminder, the training period is calculated from the anniversary of the hire date to the next anniversary of the hire date. For example, if a staff member was hired on 2/27/18, their last on-going training period would be calculated from 2/27/25 to 2/27/26. Due to the effects of Tropical Storm Helene, on-going training requirements were waived between October 2024 – April 2025. However, six (6) staff members did not complete sufficient on-going training hours outside of the exemption period. The follow staff must complete the hours listed below by your compliance due date of 4/8/26: C. Marvels- One (1) hour K. McCormack- Six (6) hours A. Seip- Six (6) hours M. Simpson- Eight (8) hours L. Martin- Twelve (12) hours M. Campbell- Two (2) hours Please note, trainings must be approved by the Division in order to count for on-going training hours. I have provided a resource for on-going training hours relevant to Montessori in the email containing this visit summary. Item #1067: New staff members must receive minimum of six (6) hours of orientation within first six (6) weeks. To comply, the staff member shall spend additional 2.5 hours on the topics listed under two-week orientation. Refer to 10A NCAC 09 .1101. In your compliance letter, please verify the completion of the orientation. Item #1232: Staff Development Plan and annual evaluation are required annually. To comply, you must complete staff development plan and annual evaluation for C. Carver and file them. In your compliance letter, please verify the completion staff development plan and annual evaluation. Item #1311: Emergency Medical Care on children’s applications must be updated annually. We discussed one (1) child who is leaving the facility within the next two (2) weeks. The other child listed on the children’s records form as missing the updated emergency medical care form will be in care through the end of the school year. To reach compliance with this item, the enrolled children must have an updated application with emergency medical care information on file. In your compliance letter, please verify the two (2) children have the updated information on file or that the children are no longer in attendance. Item #1805: To reach compliance with this item, the Administrator or Owner/Operator must complete the required training on Moodle to access the Provider Portal. Additionally, at least one (1) staff must be connected to the facility in order to reach compliance. A Technical Assistance document that includes click by click instructions was provided to you in the email containing this visit summary. In your letter of compliance, include a statement that indicates at least one (1) staff member has been connected to the facility in the ABCMS Provider Portal. Item #1889: The following lead teachers must submit their transcripts to WORKS but the compliance due date listed below: A. Seip K. Bates K. Edwards M. Gauthier K. McCormack Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/8/26. 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: Safe Sleep: We discussed that safe sleep rules apply to children twelve (12) months or younger. You stated you do enroll children who are twelve (12) months old. Currently, only children thirteen months old are present at the facility. If a child who is twelve (12) month old is present at the facility, safe sleep rules will apply. The following would need to be completed: -The Administrator and caregiving staff in rooms with twelve month old children would need ITS-SIDS training. -Sleep checks would need to be conducted every fifteen minutes for twelve month old children. -No blankets would be permitted for twelve month old children. -A safe sleep policy would need to be adopted by the facility and parents would be required to sign the policy at enrollment. Surfacing: There is sufficient surfacing in fall zones on the playground. However, due to winter weather, the mulch has become somewhat compact. Plan to rake and fluff the mulch within a six foot radius around climbers to ensure sufficient depth is sustained. Criminal Background Check: The following staff are due to complete the Criminal Background Check 5 year recheck soon: K. Bates expires 9/24/26. K. Bates can begin the process to renew on 3/24/26. K. McCormack expires 9/30/26. K. McCormack can begin the process to renew on 3/30/26. CPR/First Aid: Z. Gosnell must receive CPR/First Aid training by 4/5/26. E. Contori has a CPR/First Aid training certificate on file that is not from an approved trainer. E. Contori must complete First Aid/CPR from an approved trainer by 6/1/26. Staff and Training Worksheet: There were several dates that were not accurately captured on the Staff and Training Worksheet. Please see below and make edits to the worksheet as needed to ensure accurate information is captured moving forward: Staff files: Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. The following discrepancies between the dates reviewed on files and Staff and Training Worksheets were noted: C. Gregory: First date of employment – no record EMC review – 1/2/26 Health and Safety training – 1/29/26 Application date -5/1/15 OP/PP – 5/1/15 B. Parrish: Recognizing and Responding to Suspicions of Child Maltreatment training - 10/29/25 Health and Safety Training – 1/30/26 EMC review – 1/2/26 EPR review – 1/2/26 EI – 1/2/26 Application – 5/1/15 OP/PP – 5/16/15 E. Conforti: CPR/First aid certificates are on file. The training was completed on 1/28/26 by American Health Care Academy, which is not on the approved agency list by DCDEE. OP/PP review – 3/3/26 C. Marvels 2wks orientation – 3/7/18 6wks orientation – 3/27/18 EPR review -8/20/25 EMC Review – 4/1/25 OP/PP review – 2/27/18 Health and Safety Training – 5/10/25 On-going training hours – 19 hours between 2/27/25 – 2/26/26 verified K. McCormack EI – 1/3/25 2 wks orientation -10/1/21 OP/PP – 9/28/21 Application – 9/2/21 EMC review – 9/9/25 On-going training hours -one (1) hour of training between 9/27/24 – 9/26/25 was verified. Z. Gosnell: 2-week orientation – 1/7/25 6-week orientation - 1/9/26 OP/PP review – 12/9/25 EPR review – 12/9/25 I. Killian: Health and Safety Training – 3/6/26 2 week orientation – 1/15/26 6 week orientation – 1/16/26 – missing provider section is all but one (1) section OP/PP review – 1/2/26 M. Campbell: On-going training requirements – 10 hours is required annually. Zero (0) hour was verified for 6/5/24 – 6/4/25 period. L. Martin: On-going training requirements – five (5) hours of training between 2/2/4/25 – 2/2/3/26 was verified. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-91 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 114 Completed Date: 3/25/2026 Age: From 1 To 6 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 Brookes Parrish, Owner, during the visit. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Parrish and Karina Fricker, Assistant Teacher, were 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-two percent (82%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Discovery Preschool, LLC, is current/active as of 3/23/26. Permit type – One (1) star license issued 10/16/25 Special Services/Restrictions – 1st shift (daytime care), children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 3/5/26. The last lockdown drill was practiced on 3/2/26. The last playground inspection was documented on 3/5/26. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. Plan to reach out to Environmental Health to ensure an inspection is conducted by 3/31/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. The facility does not provide transportation. Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. Upon arrival I was greeted by Ms. Parrish. In classroom space 1 and 2, children prepared to go outside by putting on coats. Once outside, children were observed climbing on a climber, and pushing various toys. In classroom space 3 and 4, children were exploring the outdoor learning environment. Children were observed exploring a maze, pretending to chop wood with child-sized shovels and hit balls with rackets. In classroom space 5, children were engaged in a large group show and tell activity. In classroom space 6, children were engaged in independent free choice center play. Children matched objects to pictures of sea animals, explored age-appropriate math manipulatives, and participated in a teacher-led collage name writing art project. In classroom space 7, children ate snack from home and engaged in various fine motor exercises such as moving objects with tongs, attaching fabric to a string with clothespins and matching lids to various containers. In classroom space 8, children built large structures with blocks, solved three dimensional puzzles and engaged in various fine motor exercises such as weaving ribbons and finding objects in a sensory box. 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 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) An infant feeding plan was not provided for one (1) thirteen-month-old child in classroom space 1. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space 2, one (1) diaper cream expired in 11/2025 and one (1) epipen expired on 1/31/26. .0803(12) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Six (6) staff did not complete the required on-going training hours according to their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 3/3/26, received three and a half (3.5) clock hours of orientation within the first two (2) weeks of employment. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/18/25, did not have an annual staff evaluation or staff development plan on file. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The Emergency Medical Care information was not updated annually for two (2) children. .0802(c) 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 Provider Portal. G.S. 110-90.2 & .2703(r) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. Five (5) lead teachers did not have a WORKS letter on file indicating they meet lead teacher education requirements within six (6) months of assuming lead teacher duties. .0703(d) Technical assistance was provided as follows: Item #540: The feeding plan was located during the visit and posted in the classroom during the visit today. This is corrected. Moving forward, plan to post all feeding plans by the child’s first day of attendance. Item #849: To reach compliance with this item, the medications must be discarded or returned to the parents. In your letter of compliance include a statement that indicates the medications have been discarded or returned to the parents. Item #1052: Staff must complete the annual on-going training hours according to their education and experience level listed in rule .1103(a). As a reminder, the training period is calculated from the anniversary of the hire date to the next anniversary of the hire date. For example, if a staff member was hired on 2/27/18, their last on-going training period would be calculated from 2/27/25 to 2/27/26. Due to the effects of Tropical Storm Helene, on-going training requirements were waived between October 2024 – April 2025. However, six (6) staff members did not complete sufficient on-going training hours outside of the exemption period. The follow staff must complete the hours listed below by your compliance due date of 4/8/26: C. Marvels- One (1) hour K. McCormack- Six (6) hours A. Seip- Six (6) hours M. Simpson- Eight (8) hours L. Martin- Twelve (12) hours M. Campbell- Two (2) hours Please note, trainings must be approved by the Division in order to count for on-going training hours. I have provided a resource for on-going training hours relevant to Montessori in the email containing this visit summary. Item #1067: New staff members must receive minimum of six (6) hours of orientation within first six (6) weeks. To comply, the staff member shall spend additional 2.5 hours on the topics listed under two-week orientation. Refer to 10A NCAC 09 .1101. In your compliance letter, please verify the completion of the orientation. Item #1232: Staff Development Plan and annual evaluation are required annually. To comply, you must complete staff development plan and annual evaluation for C. Carver and file them. In your compliance letter, please verify the completion staff development plan and annual evaluation. Item #1311: Emergency Medical Care on children’s applications must be updated annually. We discussed one (1) child who is leaving the facility within the next two (2) weeks. The other child listed on the children’s records form as missing the updated emergency medical care form will be in care through the end of the school year. To reach compliance with this item, the enrolled children must have an updated application with emergency medical care information on file. In your compliance letter, please verify the two (2) children have the updated information on file or that the children are no longer in attendance. Item #1805: To reach compliance with this item, the Administrator or Owner/Operator must complete the required training on Moodle to access the Provider Portal. Additionally, at least one (1) staff must be connected to the facility in order to reach compliance. A Technical Assistance document that includes click by click instructions was provided to you in the email containing this visit summary. In your letter of compliance, include a statement that indicates at least one (1) staff member has been connected to the facility in the ABCMS Provider Portal. Item #1889: The following lead teachers must submit their transcripts to WORKS but the compliance due date listed below: A. Seip K. Bates K. Edwards M. Gauthier K. McCormack Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/8/26. 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: Safe Sleep: We discussed that safe sleep rules apply to children twelve (12) months or younger. You stated you do enroll children who are twelve (12) months old. Currently, only children thirteen months old are present at the facility. If a child who is twelve (12) month old is present at the facility, safe sleep rules will apply. The following would need to be completed: -The Administrator and caregiving staff in rooms with twelve month old children would need ITS-SIDS training. -Sleep checks would need to be conducted every fifteen minutes for twelve month old children. -No blankets would be permitted for twelve month old children. -A safe sleep policy would need to be adopted by the facility and parents would be required to sign the policy at enrollment. Surfacing: There is sufficient surfacing in fall zones on the playground. However, due to winter weather, the mulch has become somewhat compact. Plan to rake and fluff the mulch within a six foot radius around climbers to ensure sufficient depth is sustained. Criminal Background Check: The following staff are due to complete the Criminal Background Check 5 year recheck soon: K. Bates expires 9/24/26. K. Bates can begin the process to renew on 3/24/26. K. McCormack expires 9/30/26. K. McCormack can begin the process to renew on 3/30/26. CPR/First Aid: Z. Gosnell must receive CPR/First Aid training by 4/5/26. E. Contori has a CPR/First Aid training certificate on file that is not from an approved trainer. E. Contori must complete First Aid/CPR from an approved trainer by 6/1/26. Staff and Training Worksheet: There were several dates that were not accurately captured on the Staff and Training Worksheet. Please see below and make edits to the worksheet as needed to ensure accurate information is captured moving forward: Staff files: Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. The following discrepancies between the dates reviewed on files and Staff and Training Worksheets were noted: C. Gregory: First date of employment – no record EMC review – 1/2/26 Health and Safety training – 1/29/26 Application date -5/1/15 OP/PP – 5/1/15 B. Parrish: Recognizing and Responding to Suspicions of Child Maltreatment training - 10/29/25 Health and Safety Training – 1/30/26 EMC review – 1/2/26 EPR review – 1/2/26 EI – 1/2/26 Application – 5/1/15 OP/PP – 5/16/15 E. Conforti: CPR/First aid certificates are on file. The training was completed on 1/28/26 by American Health Care Academy, which is not on the approved agency list by DCDEE. OP/PP review – 3/3/26 C. Marvels 2wks orientation – 3/7/18 6wks orientation – 3/27/18 EPR review -8/20/25 EMC Review – 4/1/25 OP/PP review – 2/27/18 Health and Safety Training – 5/10/25 On-going training hours – 19 hours between 2/27/25 – 2/26/26 verified K. McCormack EI – 1/3/25 2 wks orientation -10/1/21 OP/PP – 9/28/21 Application – 9/2/21 EMC review – 9/9/25 On-going training hours -one (1) hour of training between 9/27/24 – 9/26/25 was verified. Z. Gosnell: 2-week orientation – 1/7/25 6-week orientation - 1/9/26 OP/PP review – 12/9/25 EPR review – 12/9/25 I. Killian: Health and Safety Training – 3/6/26 2 week orientation – 1/15/26 6 week orientation – 1/16/26 – missing provider section is all but one (1) section OP/PP review – 1/2/26 M. Campbell: On-going training requirements – 10 hours is required annually. Zero (0) hour was verified for 6/5/24 – 6/4/25 period. L. Martin: On-going training requirements – five (5) hours of training between 2/2/4/25 – 2/2/3/26 was verified. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 3/25/2026 Number Present: 114 Completed Date: 3/25/2026 Age: From 1 To 6 Total Minutes: 360 Time In: 09:30 AM Time Out: 03:30 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 Brookes Parrish, Owner, during the visit. Kaoru Eddins, Child Care Consultant, accompanied me on the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Parrish and Karina Fricker, Assistant Teacher, were 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-two percent (82%) as of 3/23/26. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Corporation, Discovery Preschool, LLC, is current/active as of 3/23/26. Permit type – One (1) star license issued 10/16/25 Special Services/Restrictions – 1st shift (daytime care), children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 3/5/26. The last lockdown drill was practiced on 3/2/26. The last playground inspection was documented on 3/5/26. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. Plan to reach out to Environmental Health to ensure an inspection is conducted by 3/31/26. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. The facility does not provide transportation. Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. Upon arrival I was greeted by Ms. Parrish. In classroom space 1 and 2, children prepared to go outside by putting on coats. Once outside, children were observed climbing on a climber, and pushing various toys. In classroom space 3 and 4, children were exploring the outdoor learning environment. Children were observed exploring a maze, pretending to chop wood with child-sized shovels and hit balls with rackets. In classroom space 5, children were engaged in a large group show and tell activity. In classroom space 6, children were engaged in independent free choice center play. Children matched objects to pictures of sea animals, explored age-appropriate math manipulatives, and participated in a teacher-led collage name writing art project. In classroom space 7, children ate snack from home and engaged in various fine motor exercises such as moving objects with tongs, attaching fabric to a string with clothespins and matching lids to various containers. In classroom space 8, children built large structures with blocks, solved three dimensional puzzles and engaged in various fine motor exercises such as weaving ribbons and finding objects in a sensory box. 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 540 An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted. (omit posting for centers located in a residence) An infant feeding plan was not provided for one (1) thirteen-month-old child in classroom space 1. 10A NCAC 09 .0902(a) 849 Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization. In classroom space 2, one (1) diaper cream expired in 11/2025 and one (1) epipen expired on 1/31/26. .0803(12) 1052 Staff required to receive on-going training had not completed the required number of hours according to their education and experience. Six (6) staff did not complete the required on-going training hours according to their education and experience. .1103(a) 1067 Each new employee did not complete, within the first two weeks of employment, six clock hours of training in required topic areas. One (1) staff, hire date 3/3/26, received three and a half (3.5) clock hours of orientation within the first two (2) weeks of employment. .1101(a)(b) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. One (1) staff, hire date 2/18/25, did not have an annual staff evaluation or staff development plan on file. 10A NCAC 09 .0514(f) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. The Emergency Medical Care information was not updated annually for two (2) children. .0802(c) 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 Provider Portal. G.S. 110-90.2 & .2703(r) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. Five (5) lead teachers did not have a WORKS letter on file indicating they meet lead teacher education requirements within six (6) months of assuming lead teacher duties. .0703(d) Technical assistance was provided as follows: Item #540: The feeding plan was located during the visit and posted in the classroom during the visit today. This is corrected. Moving forward, plan to post all feeding plans by the child’s first day of attendance. Item #849: To reach compliance with this item, the medications must be discarded or returned to the parents. In your letter of compliance include a statement that indicates the medications have been discarded or returned to the parents. Item #1052: Staff must complete the annual on-going training hours according to their education and experience level listed in rule .1103(a). As a reminder, the training period is calculated from the anniversary of the hire date to the next anniversary of the hire date. For example, if a staff member was hired on 2/27/18, their last on-going training period would be calculated from 2/27/25 to 2/27/26. Due to the effects of Tropical Storm Helene, on-going training requirements were waived between October 2024 – April 2025. However, six (6) staff members did not complete sufficient on-going training hours outside of the exemption period. The follow staff must complete the hours listed below by your compliance due date of 4/8/26: C. Marvels- One (1) hour K. McCormack- Six (6) hours A. Seip- Six (6) hours M. Simpson- Eight (8) hours L. Martin- Twelve (12) hours M. Campbell- Two (2) hours Please note, trainings must be approved by the Division in order to count for on-going training hours. I have provided a resource for on-going training hours relevant to Montessori in the email containing this visit summary. Item #1067: New staff members must receive minimum of six (6) hours of orientation within first six (6) weeks. To comply, the staff member shall spend additional 2.5 hours on the topics listed under two-week orientation. Refer to 10A NCAC 09 .1101. In your compliance letter, please verify the completion of the orientation. Item #1232: Staff Development Plan and annual evaluation are required annually. To comply, you must complete staff development plan and annual evaluation for C. Carver and file them. In your compliance letter, please verify the completion staff development plan and annual evaluation. Item #1311: Emergency Medical Care on children’s applications must be updated annually. We discussed one (1) child who is leaving the facility within the next two (2) weeks. The other child listed on the children’s records form as missing the updated emergency medical care form will be in care through the end of the school year. To reach compliance with this item, the enrolled children must have an updated application with emergency medical care information on file. In your compliance letter, please verify the two (2) children have the updated information on file or that the children are no longer in attendance. Item #1805: To reach compliance with this item, the Administrator or Owner/Operator must complete the required training on Moodle to access the Provider Portal. Additionally, at least one (1) staff must be connected to the facility in order to reach compliance. A Technical Assistance document that includes click by click instructions was provided to you in the email containing this visit summary. In your letter of compliance, include a statement that indicates at least one (1) staff member has been connected to the facility in the ABCMS Provider Portal. Item #1889: The following lead teachers must submit their transcripts to WORKS but the compliance due date listed below: A. Seip K. Bates K. Edwards M. Gauthier K. McCormack Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/8/26. 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: Safe Sleep: We discussed that safe sleep rules apply to children twelve (12) months or younger. You stated you do enroll children who are twelve (12) months old. Currently, only children thirteen months old are present at the facility. If a child who is twelve (12) month old is present at the facility, safe sleep rules will apply. The following would need to be completed: -The Administrator and caregiving staff in rooms with twelve month old children would need ITS-SIDS training. -Sleep checks would need to be conducted every fifteen minutes for twelve month old children. -No blankets would be permitted for twelve month old children. -A safe sleep policy would need to be adopted by the facility and parents would be required to sign the policy at enrollment. Surfacing: There is sufficient surfacing in fall zones on the playground. However, due to winter weather, the mulch has become somewhat compact. Plan to rake and fluff the mulch within a six foot radius around climbers to ensure sufficient depth is sustained. Criminal Background Check: The following staff are due to complete the Criminal Background Check 5 year recheck soon: K. Bates expires 9/24/26. K. Bates can begin the process to renew on 3/24/26. K. McCormack expires 9/30/26. K. McCormack can begin the process to renew on 3/30/26. CPR/First Aid: Z. Gosnell must receive CPR/First Aid training by 4/5/26. E. Contori has a CPR/First Aid training certificate on file that is not from an approved trainer. E. Contori must complete First Aid/CPR from an approved trainer by 6/1/26. Staff and Training Worksheet: There were several dates that were not accurately captured on the Staff and Training Worksheet. Please see below and make edits to the worksheet as needed to ensure accurate information is captured moving forward: Staff files: Four (4) existing staff files and three (3) new files were monitored. Additionally. Seven (7) staff files were reviewed partially for missing information. The following discrepancies between the dates reviewed on files and Staff and Training Worksheets were noted: C. Gregory: First date of employment – no record EMC review – 1/2/26 Health and Safety training – 1/29/26 Application date -5/1/15 OP/PP – 5/1/15 B. Parrish: Recognizing and Responding to Suspicions of Child Maltreatment training - 10/29/25 Health and Safety Training – 1/30/26 EMC review – 1/2/26 EPR review – 1/2/26 EI – 1/2/26 Application – 5/1/15 OP/PP – 5/16/15 E. Conforti: CPR/First aid certificates are on file. The training was completed on 1/28/26 by American Health Care Academy, which is not on the approved agency list by DCDEE. OP/PP review – 3/3/26 C. Marvels 2wks orientation – 3/7/18 6wks orientation – 3/27/18 EPR review -8/20/25 EMC Review – 4/1/25 OP/PP review – 2/27/18 Health and Safety Training – 5/10/25 On-going training hours – 19 hours between 2/27/25 – 2/26/26 verified K. McCormack EI – 1/3/25 2 wks orientation -10/1/21 OP/PP – 9/28/21 Application – 9/2/21 EMC review – 9/9/25 On-going training hours -one (1) hour of training between 9/27/24 – 9/26/25 was verified. Z. Gosnell: 2-week orientation – 1/7/25 6-week orientation - 1/9/26 OP/PP review – 12/9/25 EPR review – 12/9/25 I. Killian: Health and Safety Training – 3/6/26 2 week orientation – 1/15/26 6 week orientation – 1/16/26 – missing provider section is all but one (1) section OP/PP review – 1/2/26 M. Campbell: On-going training requirements – 10 hours is required annually. Zero (0) hour was verified for 6/5/24 – 6/4/25 period. L. Martin: On-going training requirements – five (5) hours of training between 2/2/4/25 – 2/2/3/26 was verified. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” Child Maltreatment Training: As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. WORKS: It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Child Care Rule 10A NCAC 09 .3222 (c) If employment-related changes occur at a facility that result in noncompliance with or failure to meet the standards in the Section for the star rating issued, the operator shall correct the noncompliance within six months. If the operator does not correct the noncompliance within six months, the operator shall notify the Division. Health and Safety Training: It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 106 Completed Date: 10/16/2025 Age: From 1 To 5 Total Minutes: 285 Time In: 09:00 AM Time Out: 01:45 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 Brookes Parrish, Owner, during the visit. Bridget Owen, Child Care Consultant, accompanied me on the visit. A signed copy of the visit summary was emailed to you. Brookes Parrish, Owner/Operator, Cara Gregory, Administrator/Owner, and Karina Fricker, Administrative Assistant were 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 eighty-five percent (85%) as of 10/13/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The facility serves children with special needs. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 9/11/25. The last shelter-in-place drill was practiced on 9/10/25. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. Upon arrival I was greeted by Ms. Gregory. Ms. Fricker accompanied us on the walk through of caregiving spaces. In classroom space 1, children were participating in routine caregiving activities, such as diapering, and handwashing. In classroom space 2, children prepared to go outside. Once outside, children pushed toys and slid down small slides. In classroom 3, children participated in a teacher-led finger painting activity, and practiced counting with teachers. In classroom space 4, children were exploring various manipulatives and used various tools to scoop and tong objects into various containers. In classroom 5, children were building small structures with blocks and animal figurines, ate snack from home and identified letters. In classroom space 6, children pretended to care for babies, completed coloring sheets and built small structures with wooden blocks. In classroom space 7, children identified beginning sounds, and matched colors. In classroom space 8, children counted objects and traced various shapes with colored pencils. 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 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. An orientation training record was not on file for staff M. Thomas. .1101(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 CPR/First Aid certificate for staff K. Edwards expired 9/2025. There is not a current CPR/First Aid certificate on file for staff B. Parrish. .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/First Aid certificate for staff K. Edwards expired 9/2025. There is not a current CPR/First Aid certificate on file for staff B. Parrish. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualifying letter was not on file for B. Parrish. G.S. 110-90.2(b) & (d) & .2703(e) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. The Administrator did not have WORKS letter on file, indicating they meet requirements for Administrator. .0703(d) 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. The Administrator and one (1) staff (BP) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) Technical assistance was provided as follows: Item #1045 At least sixteen hours of orientation training must be documented on the orientation training record. Plan to provide the orientation training to the one (1) staff, as required by rule .1101 (a) and (b). In your letter of compliance, please include a statement that indicates the orientation training has been completed for the one (1) staff and that the orientation training record has been completed. Item #1048 and 1049 CPR/First Aid training must be renewed prior to the expiration date of the previous certificate. A training must be completed for the two (2) staff by 10/30/25. Resources were provided to you for trainings that occur next week. Alternatively, since the majority of your staff have CPR/First Aid trainings that expire in February 2026, I recommend reaching out to our Child Care Health Consultants to schedule a facility-wide CPR/First Aid training. Please see the contact below: Chrissy Wolfe, Child Care Health Consultant Phone: (828) 424-0562 Email: Chrissy.wolfe@mahec.net Robin Worley, Child Care Health Consultant Phone: 828-772-0504 Email: robin.worley@mahec.net In your letter of compliance, please include a statement that indicates the two (2) staff have received an updated training. Please note, extensions cannot be granted for this item as it is a safety-related violation. Item #1757 The letter was placed in the file during the visit. This is corrected. Moving forward, plan to have staff print their letter as they receive them and place in the file. Item #1889 To reach compliance for this item, Cara Gregory must apply for the position of “Administrator” and Lead Teacher in WORKS. Ms. Gregory submitted paperwork in 4/11/2016 but neither a status nor return letter was issued. Plan to visit https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS for resources on how to accomplish this. Alternatively, Brookes Parrish, Owner, can submit transcripts and apply for the position of “Administrator” and “Lead Teacher” in WORKS. If you choose to place Ms. Parrish as the Administrator, I will also need the Preservice Form for Administrators completed. If you do not meet the requirements for an Administrator you will need to either enroll in course work or hire a new Administrator that meets preservice requirements in rule .0704 of the NC Child Care Rules. Item #1897 The administrator and all staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment Training within 90 days of employment according to rule .1102 (g). The administrator and one (1) staff must complete the training by 10/30/25. In your letter of compliance, include a statement that indicates the training is completed and the certificates are on file for the two (2) staff. 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. This is a requirement for all child care facilities. If at least one (1) staff member is not linked to your facility at your next visit, a violation may be cited. 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 10/30/25. 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 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: We discussed the permit restriction of “meets enhanced ratios” on your license. We discussed, these ratios are typically used for enhanced standards as part of rule section .2800 Two through Five Star Rated Licenses. Since you are a one (1) star facility and plan to remain a one (1) star facility, you are not required to follow enhanced ratios. A request was provided via email today from Brookes Parrish, Owner/Operator, to remove the restriction. A new permit will be issued that reflects this change. You may follow minimum ratio requirements. Surfacing: Plan to rake and fluff the existing mulch on the playground in the fall zones around climbing equipment as it is beginning to get packed down. Criminal Background Check Reminders: The following staff have Criminal Background Check qualifying letters that will expire soon: A. Hurd expires 12/22/25 M. Simpson expires 11/5/25 Plan to have these staff complete the Criminal Background Check renewal process immediately, to avoid a lapse. Incident Log: Moving forward, plan to only place a date under the “date submitted” column for incidents you send to me when a child receives outside medical attention for an injury that occurs at the facility. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 106 Completed Date: 10/16/2025 Age: From 1 To 5 Total Minutes: 285 Time In: 09:00 AM Time Out: 01:45 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 Brookes Parrish, Owner, during the visit. Bridget Owen, Child Care Consultant, accompanied me on the visit. A signed copy of the visit summary was emailed to you. Brookes Parrish, Owner/Operator, Cara Gregory, Administrator/Owner, and Karina Fricker, Administrative Assistant were 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 eighty-five percent (85%) as of 10/13/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The facility serves children with special needs. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 9/11/25. The last shelter-in-place drill was practiced on 9/10/25. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. Upon arrival I was greeted by Ms. Gregory. Ms. Fricker accompanied us on the walk through of caregiving spaces. In classroom space 1, children were participating in routine caregiving activities, such as diapering, and handwashing. In classroom space 2, children prepared to go outside. Once outside, children pushed toys and slid down small slides. In classroom 3, children participated in a teacher-led finger painting activity, and practiced counting with teachers. In classroom space 4, children were exploring various manipulatives and used various tools to scoop and tong objects into various containers. In classroom 5, children were building small structures with blocks and animal figurines, ate snack from home and identified letters. In classroom space 6, children pretended to care for babies, completed coloring sheets and built small structures with wooden blocks. In classroom space 7, children identified beginning sounds, and matched colors. In classroom space 8, children counted objects and traced various shapes with colored pencils. 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 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. An orientation training record was not on file for staff M. Thomas. .1101(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 CPR/First Aid certificate for staff K. Edwards expired 9/2025. There is not a current CPR/First Aid certificate on file for staff B. Parrish. .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/First Aid certificate for staff K. Edwards expired 9/2025. There is not a current CPR/First Aid certificate on file for staff B. Parrish. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualifying letter was not on file for B. Parrish. G.S. 110-90.2(b) & (d) & .2703(e) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. The Administrator did not have WORKS letter on file, indicating they meet requirements for Administrator. .0703(d) 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. The Administrator and one (1) staff (BP) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) Technical assistance was provided as follows: Item #1045 At least sixteen hours of orientation training must be documented on the orientation training record. Plan to provide the orientation training to the one (1) staff, as required by rule .1101 (a) and (b). In your letter of compliance, please include a statement that indicates the orientation training has been completed for the one (1) staff and that the orientation training record has been completed. Item #1048 and 1049 CPR/First Aid training must be renewed prior to the expiration date of the previous certificate. A training must be completed for the two (2) staff by 10/30/25. Resources were provided to you for trainings that occur next week. Alternatively, since the majority of your staff have CPR/First Aid trainings that expire in February 2026, I recommend reaching out to our Child Care Health Consultants to schedule a facility-wide CPR/First Aid training. Please see the contact below: Chrissy Wolfe, Child Care Health Consultant Phone: (828) 424-0562 Email: Chrissy.wolfe@mahec.net Robin Worley, Child Care Health Consultant Phone: 828-772-0504 Email: robin.worley@mahec.net In your letter of compliance, please include a statement that indicates the two (2) staff have received an updated training. Please note, extensions cannot be granted for this item as it is a safety-related violation. Item #1757 The letter was placed in the file during the visit. This is corrected. Moving forward, plan to have staff print their letter as they receive them and place in the file. Item #1889 To reach compliance for this item, Cara Gregory must apply for the position of “Administrator” and Lead Teacher in WORKS. Ms. Gregory submitted paperwork in 4/11/2016 but neither a status nor return letter was issued. Plan to visit https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS for resources on how to accomplish this. Alternatively, Brookes Parrish, Owner, can submit transcripts and apply for the position of “Administrator” and “Lead Teacher” in WORKS. If you choose to place Ms. Parrish as the Administrator, I will also need the Preservice Form for Administrators completed. If you do not meet the requirements for an Administrator you will need to either enroll in course work or hire a new Administrator that meets preservice requirements in rule .0704 of the NC Child Care Rules. Item #1897 The administrator and all staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment Training within 90 days of employment according to rule .1102 (g). The administrator and one (1) staff must complete the training by 10/30/25. In your letter of compliance, include a statement that indicates the training is completed and the certificates are on file for the two (2) staff. 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. This is a requirement for all child care facilities. If at least one (1) staff member is not linked to your facility at your next visit, a violation may be cited. 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 10/30/25. 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 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: We discussed the permit restriction of “meets enhanced ratios” on your license. We discussed, these ratios are typically used for enhanced standards as part of rule section .2800 Two through Five Star Rated Licenses. Since you are a one (1) star facility and plan to remain a one (1) star facility, you are not required to follow enhanced ratios. A request was provided via email today from Brookes Parrish, Owner/Operator, to remove the restriction. A new permit will be issued that reflects this change. You may follow minimum ratio requirements. Surfacing: Plan to rake and fluff the existing mulch on the playground in the fall zones around climbing equipment as it is beginning to get packed down. Criminal Background Check Reminders: The following staff have Criminal Background Check qualifying letters that will expire soon: A. Hurd expires 12/22/25 M. Simpson expires 11/5/25 Plan to have these staff complete the Criminal Background Check renewal process immediately, to avoid a lapse. Incident Log: Moving forward, plan to only place a date under the “date submitted” column for incidents you send to me when a child receives outside medical attention for an injury that occurs at the facility. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/16/2025 Number Present: 106 Completed Date: 10/16/2025 Age: From 1 To 5 Total Minutes: 285 Time In: 09:00 AM Time Out: 01:45 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 Brookes Parrish, Owner, during the visit. Bridget Owen, Child Care Consultant, accompanied me on the visit. A signed copy of the visit summary was emailed to you. Brookes Parrish, Owner/Operator, Cara Gregory, Administrator/Owner, and Karina Fricker, Administrative Assistant were 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 eighty-five percent (85%) as of 10/13/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility is licensed to serve one hundred seventy (170) children ages 1-12. The facility serves children with special needs. The last annual compliance visit was conducted on 4/9/25. The last fire drill was practiced on 9/11/25. The last shelter-in-place drill was practiced on 9/10/25. The last fire inspection was approved on 4/22/25. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The Clean Classrooms for Carolina Kids website states the status as “enrollment started”. Continue to work with RTI to complete the required testing. Upon arrival I was greeted by Ms. Gregory. Ms. Fricker accompanied us on the walk through of caregiving spaces. In classroom space 1, children were participating in routine caregiving activities, such as diapering, and handwashing. In classroom space 2, children prepared to go outside. Once outside, children pushed toys and slid down small slides. In classroom 3, children participated in a teacher-led finger painting activity, and practiced counting with teachers. In classroom space 4, children were exploring various manipulatives and used various tools to scoop and tong objects into various containers. In classroom 5, children were building small structures with blocks and animal figurines, ate snack from home and identified letters. In classroom space 6, children pretended to care for babies, completed coloring sheets and built small structures with wooden blocks. In classroom space 7, children identified beginning sounds, and matched colors. In classroom space 8, children counted objects and traced various shapes with colored pencils. 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 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. An orientation training record was not on file for staff M. Thomas. .1101(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 CPR/First Aid certificate for staff K. Edwards expired 9/2025. There is not a current CPR/First Aid certificate on file for staff B. Parrish. .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/First Aid certificate for staff K. Edwards expired 9/2025. There is not a current CPR/First Aid certificate on file for staff B. Parrish. .1102(d) 1757 A valid qualification letter was not on file and available to review at the facility. The current Criminal Background Check qualifying letter was not on file for B. Parrish. G.S. 110-90.2(b) & (d) & .2703(e) 1889 Individuals that did not meet the staff qualifications as required by G.S. 110-91(8) did not submit to the Division documentation of completed coursework or credential to be considered for equivalency within six months of assuming duties. The Administrator did not have WORKS letter on file, indicating they meet requirements for Administrator. .0703(d) 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. The Administrator and one (1) staff (BP) did not complete Recognizing and Responding to Suspicions of Child Maltreatment training. .1102(g) Technical assistance was provided as follows: Item #1045 At least sixteen hours of orientation training must be documented on the orientation training record. Plan to provide the orientation training to the one (1) staff, as required by rule .1101 (a) and (b). In your letter of compliance, please include a statement that indicates the orientation training has been completed for the one (1) staff and that the orientation training record has been completed. Item #1048 and 1049 CPR/First Aid training must be renewed prior to the expiration date of the previous certificate. A training must be completed for the two (2) staff by 10/30/25. Resources were provided to you for trainings that occur next week. Alternatively, since the majority of your staff have CPR/First Aid trainings that expire in February 2026, I recommend reaching out to our Child Care Health Consultants to schedule a facility-wide CPR/First Aid training. Please see the contact below: Chrissy Wolfe, Child Care Health Consultant Phone: (828) 424-0562 Email: Chrissy.wolfe@mahec.net Robin Worley, Child Care Health Consultant Phone: 828-772-0504 Email: robin.worley@mahec.net In your letter of compliance, please include a statement that indicates the two (2) staff have received an updated training. Please note, extensions cannot be granted for this item as it is a safety-related violation. Item #1757 The letter was placed in the file during the visit. This is corrected. Moving forward, plan to have staff print their letter as they receive them and place in the file. Item #1889 To reach compliance for this item, Cara Gregory must apply for the position of “Administrator” and Lead Teacher in WORKS. Ms. Gregory submitted paperwork in 4/11/2016 but neither a status nor return letter was issued. Plan to visit https://ncchildcare.ncdhhs.gov/Services/DCDEE-WORKS for resources on how to accomplish this. Alternatively, Brookes Parrish, Owner, can submit transcripts and apply for the position of “Administrator” and “Lead Teacher” in WORKS. If you choose to place Ms. Parrish as the Administrator, I will also need the Preservice Form for Administrators completed. If you do not meet the requirements for an Administrator you will need to either enroll in course work or hire a new Administrator that meets preservice requirements in rule .0704 of the NC Child Care Rules. Item #1897 The administrator and all staff members must complete Recognizing and Responding to Suspicions of Child Maltreatment Training within 90 days of employment according to rule .1102 (g). The administrator and one (1) staff must complete the training by 10/30/25. In your letter of compliance, include a statement that indicates the training is completed and the certificates are on file for the two (2) staff. 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. This is a requirement for all child care facilities. If at least one (1) staff member is not linked to your facility at your next visit, a violation may be cited. 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 10/30/25. 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 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: We discussed the permit restriction of “meets enhanced ratios” on your license. We discussed, these ratios are typically used for enhanced standards as part of rule section .2800 Two through Five Star Rated Licenses. Since you are a one (1) star facility and plan to remain a one (1) star facility, you are not required to follow enhanced ratios. A request was provided via email today from Brookes Parrish, Owner/Operator, to remove the restriction. A new permit will be issued that reflects this change. You may follow minimum ratio requirements. Surfacing: Plan to rake and fluff the existing mulch on the playground in the fall zones around climbing equipment as it is beginning to get packed down. Criminal Background Check Reminders: The following staff have Criminal Background Check qualifying letters that will expire soon: A. Hurd expires 12/22/25 M. Simpson expires 11/5/25 Plan to have these staff complete the Criminal Background Check renewal process immediately, to avoid a lapse. Incident Log: Moving forward, plan to only place a date under the “date submitted” column for incidents you send to me when a child receives outside medical attention for an injury that occurs at the facility. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0601 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 114 Completed Date: 4/24/2025 Age: From 1 To 5 Total Minutes: 145 Time In: 10:05 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Annual Compliance Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Karina Fricker, Administrative Assistant, during the visit. A signed copy of the visit summary was emailed to you. Karina Fricker, Administrative Assistant, Cara Gregory, Administrator, and Brookes Parrish, Owner/Operator were present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, supervision, medication, Criminal Background Check, children’s records, emergency medical care, general safety, outdoor safety, and discipline policy. During the Annual Compliance visit on 4/9/25, twenty-seven (27) violation(s) regarding medication, Criminal Background Check, general safety, outdoor safety, emergency medical care plan, staff records, children’s records, discipline policy, Shaken Baby Syndrome and Abusive Head Trauma policy were cited. Per procedures, a follow-up visit must be made anytime sixteen (16) or more violations are cited. Additionally, per procedures, a follow-up visit must be made any time if compliance is unclear or incomplete. A compliance letter was received from Ms. Parrish on 4/22/25. Some items were not yet corrected or compliance was unclear or incomplete. These items were monitored today as follows: Item #807: The landscape fabric has not been removed from the playgrounds. This violation will be cited as a repeat violation today. Item #844: The original pharmacy packaging was provided by the family of the child. This will be marked corrected during the visit today. Item #862: The Emergency Medical Care Plan was updated and reviewed with staff. Staff signed off on the review between the dates of 4/10/25-4/21/25 depending on staff schedules. This will be marked corrected during the visit today. Item #1044: I checked the ABCMS website on 4/23/25. Ms. Gregory received an updated qualification on 4/23/25 and Ms. Parrish received an updated qualification on 4/15/25. This is corrected. Item #1303, #1308, #1309, #1310, #1311, #1313, #1314, #1315, #1316, #1317, #1318, #1319: The child’s file was reviewed today. The parent completed the application that included emergency medical care information on 4/10/25. These items will be marked corrected during the visit today. Item #1324 and #1325: The discipline policy was signed by the child’s parents. The signed acknowledgment has been placed in the child’s file. This will be marked corrected during the visit today. Item #1757: The Criminal Background Check qualifying letters were on file for B. Parrish and C. Cary (Gregory). Item #1867: Mulch has not been added to the appropriate depth in fall zones on the playground spaces. This item will be cited as a repeat violation today. Items #541, #815, #1043, #1321, #1882, #1908 are marked corrected per letter of compliance received from Ms. Parrish on 4/22/25. Items #1850 and #841 were corrected during the visit on 4/9/25. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) Technical Assistance provided as follows: Item #807 Tripping Hazard: In your letter of compliance, you stated that you have reached out to contractors to have the landscape fabric removed. I cannot accept a plan as a confirmation of compliance. Please let me know when you have a date that the work is scheduled to be completed. One suggestion would be to remove the fabric from the areas that are not considered fall zones. The mulch from these areas could be added into the fall zones. You do not need to have surfacing on the areas that are not considered fall zones. As a reminder, a fall zone would be the area six (6) feet around any climber that has a critical height of eighteen (18) inches or higher. The critical height is the highest area designed for a child to sit or stand. Item #1867 Surfacing: In your letter of compliance, you stated that you plan to add mulch after the landscape fabric is removed. You also stated that you will add barrier to maintain mulch in the fall zones. Please refer to rule .0605 (j)-(l) for requirements prior to beginning the work. If you have any questions, please reach out to the me before the work begins. It is much more difficult and costly to remove surfacing, barriers, and/or equipment once the work has been completed. As a reminder, you do not need to have surfacing on areas that are not considered fall zones. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. 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 to the Criminal Background Check violations and the quantity of sixteen (16) or more violations cited, an Administrative Action may be recommended. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/24/2025 Number Present: 114 Completed Date: 4/24/2025 Age: From 1 To 5 Total Minutes: 145 Time In: 10:05 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Compliance Follow-Up Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an Annual Compliance Follow-up visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Karina Fricker, Administrative Assistant, during the visit. A signed copy of the visit summary was emailed to you. Karina Fricker, Administrative Assistant, Cara Gregory, Administrator, and Brookes Parrish, Owner/Operator were present and available to ask and answer questions throughout the visit today. Limited monitoring was conducted today including staff/child ratio, permit restrictions, capacity, supervision, medication, Criminal Background Check, children’s records, emergency medical care, general safety, outdoor safety, and discipline policy. During the Annual Compliance visit on 4/9/25, twenty-seven (27) violation(s) regarding medication, Criminal Background Check, general safety, outdoor safety, emergency medical care plan, staff records, children’s records, discipline policy, Shaken Baby Syndrome and Abusive Head Trauma policy were cited. Per procedures, a follow-up visit must be made anytime sixteen (16) or more violations are cited. Additionally, per procedures, a follow-up visit must be made any time if compliance is unclear or incomplete. A compliance letter was received from Ms. Parrish on 4/22/25. Some items were not yet corrected or compliance was unclear or incomplete. These items were monitored today as follows: Item #807: The landscape fabric has not been removed from the playgrounds. This violation will be cited as a repeat violation today. Item #844: The original pharmacy packaging was provided by the family of the child. This will be marked corrected during the visit today. Item #862: The Emergency Medical Care Plan was updated and reviewed with staff. Staff signed off on the review between the dates of 4/10/25-4/21/25 depending on staff schedules. This will be marked corrected during the visit today. Item #1044: I checked the ABCMS website on 4/23/25. Ms. Gregory received an updated qualification on 4/23/25 and Ms. Parrish received an updated qualification on 4/15/25. This is corrected. Item #1303, #1308, #1309, #1310, #1311, #1313, #1314, #1315, #1316, #1317, #1318, #1319: The child’s file was reviewed today. The parent completed the application that included emergency medical care information on 4/10/25. These items will be marked corrected during the visit today. Item #1324 and #1325: The discipline policy was signed by the child’s parents. The signed acknowledgment has been placed in the child’s file. This will be marked corrected during the visit today. Item #1757: The Criminal Background Check qualifying letters were on file for B. Parrish and C. Cary (Gregory). Item #1867: Mulch has not been added to the appropriate depth in fall zones on the playground spaces. This item will be cited as a repeat violation today. Items #541, #815, #1043, #1321, #1882, #1908 are marked corrected per letter of compliance received from Ms. Parrish on 4/22/25. Items #1850 and #841 were corrected during the visit on 4/9/25. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were documented today: Violation Number Comment Rule 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) Technical Assistance provided as follows: Item #807 Tripping Hazard: In your letter of compliance, you stated that you have reached out to contractors to have the landscape fabric removed. I cannot accept a plan as a confirmation of compliance. Please let me know when you have a date that the work is scheduled to be completed. One suggestion would be to remove the fabric from the areas that are not considered fall zones. The mulch from these areas could be added into the fall zones. You do not need to have surfacing on the areas that are not considered fall zones. As a reminder, a fall zone would be the area six (6) feet around any climber that has a critical height of eighteen (18) inches or higher. The critical height is the highest area designed for a child to sit or stand. Item #1867 Surfacing: In your letter of compliance, you stated that you plan to add mulch after the landscape fabric is removed. You also stated that you will add barrier to maintain mulch in the fall zones. Please refer to rule .0605 (j)-(l) for requirements prior to beginning the work. If you have any questions, please reach out to the me before the work begins. It is much more difficult and costly to remove surfacing, barriers, and/or equipment once the work has been completed. As a reminder, you do not need to have surfacing on areas that are not considered fall zones. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 5/8/25. 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 to the Criminal Background Check violations and the quantity of sixteen (16) or more violations cited, an Administrative Action may be recommended. 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 .0601 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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 .1103 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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 .1804 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

GS110-91 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 4/9/2025 Number Present: 121 Completed Date: 4/9/2025 Age: From 1 To 5 Total Minutes: 460 Time In: 09:20 AM Time Out: 05:00 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 Karina Fricker, Administrative Assistant, during the visit. Kaoru Eddins, Child Care Consultant accompanied me. The visit summary was also reviewed with Brookes Parrish, Owner/Operator. A signed copy of the visit summary was emailed to you. Ms. Parrish and Ms. Fricker were 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-five percent (85%) as of 4/7/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC, is current/active as of 4/7/25. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The last annual compliance visit was conducted on 5/15/24. The last fire drill was practiced on 3/14/25. The last shelter-in-place drill was practiced on 3/14/25. The last playground inspection was documented on 4/2/25. The last fire inspection was conducted on 9/3/24. The fire inspection was not documented on the form provided by the Division. The last sanitation inspection was conducted on 3/24/25 with five (5) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/8/25 without hazards. Lead paint and asbestos testing has not been completed. The program does not provide transportation. In classroom space 1, children read books with caregivers, explored plastic blocks and participated in routine caregiving activities including handwashing. Children from classroom space 2 were playing outside on the playground for infants and toddlers. Children climbed a small jungle gym, pushed large rolling toys and rolled toy trucks on various surfaces. Children from classroom spaces 3 and 4 were playing on the large middle playground. Children dug in dirt with child sized tools and played musical instruments. In classroom space 5, children traced shapes and colored them in with colored pencils, matched objects with pictures and participated in a teacher-led art project using tissue paper and glue to create three dimensional collages. In classroom space 6, children rolled cars on tracks, built small structures with magnatiles, arranged flowers in a vase, and matched easter eggs to small baskets. In classroom space 7, children used tongs to transfer objects from one container to another, used tools to unscrew bolts and completed a three-dimensional puzzle. In classroom space 8, counted objects to match numbers, ate snack from home, and participated in routine caregiving activities such as toileting and handwashing. 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 541 The written feeding plan did not include the child's name, parent signature, and/or was not dated when received by the center. One (1) feeding plan was not signed by the parent in classroom space 1. .0902(a) 807 A safe indoor and outdoor environment was not provided for the children. Landscape fabric was exposed on the playground, creating potential tripping hazards. 10A NCAC 09 .0601(a) 815 Electrical cords were accessible to infants and toddlers. In classroom space 3, the electrical cords for three (3) lamps were accessible to two year old children. In classroom space 4, the electrical cords for one (1) lamp were accessible to two year old children. 10A NCAC 09 .0604(f) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. Benadryl was not maintained in locked storage in classroom space 1. 15A NCAC 18A .2820(d) 844 Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional. Two (2) Epipens for one (1) child were not stored in the original pharmacy container with the pharmacy label in classroom space 1. .0803(2)(a) 862 The EMC plan was not reviewed with all staff annually and whenever the plan was revised. Per Staff and Training Worksheet, the Emergency Medical Care (EMC)Plan was not reviewed with staff members. One (1) staff member stated that the EMC plan was reviewed with him/her upon initial orientation but had not reviewed it since then. 10A NCAC 09 .0802(a) 1043 All staff records, except financial records, were not made available for review. The staff files for staff CG and BP were not available for review. G.S. 110-91( 9) 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The qualification letter expired on 3/7/23 for staff C. Gregory. The qualification letter expired on 1/23/23 for staff B. Parrish. G.S. 110-90.2(b) & .2703(n)&(o) 1303 Application was not signed by the parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. 10A NCAC 09 .0801(a) 1308 Application did not include the names of individuals to whom the center may release the child, as authorized by the person who signs the application. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a)(7) 1309 The information contained in the application was not accessible to caregiving staff during the time children were in care. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of application was not on file. .0801 (d) 1310 The completed, signed application was not on file on the first day each child attends. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0801(a) 1311 Emergency medical care information was not on file in the center on the child's first day of attendance and/or was not updated as changes occurred or at least annually for each child. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c) 1313 Emergency information did not include name, address, and telephone number of parent or other emergency contact person. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(1) 1314 Emergency information did not name childs health care professional. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(2) 1315 Emergency information record did not include chronic illness and any medication taken for the illness. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(c)(3) 1316 Emergency medical care information did not contain information needed for safe medical treatment. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802 (c)(4) 1317 Authorization for emergency medical care information was not signed by child's parent. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1318 Medical authorization was not present on child's first day. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1319 Medical authorizations were not accessible to staff. A file for a child whose date of enrollment being 6/13/22 had only first page of application. The remainder of the application was not on file. .0802(d) 1321 Medical exam or health assessment record was not on file before or within 30 days after admission. The child’s date of enrollment was 8/8/23, and the physical in file was dated 8/29/24 GS110-91(1) 1324 Signed and dated statement by parent that discipline policy received and explained at enrollment was not in child's file. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(c) 1325 Parent’s statement includes the child’s name and date of enrollment and the date the parent signed the statement. Signed/dated statement for discipline policy review with child’s name and enrollment date and was not in a child’s file. .1804(b) 1757 A valid qualification letter was not on file and available to review at the facility. The qualification letters for B. Parrish and C. Gregory were not available for review. G.S. 110-90.2(b) & (d) & .2703(e) 1850 Signage was not posted regarding the smoking and tobacco restriction at the entrance of the center and/or in vehicles used to transport children. A "no smoking" sign was not posted at the entrance of the facility. .0604(i) 1867 The depth of the loose surfacing was not based on critical height of the equipment. The mulch measured approximately zero (0) to two (2) inches above the landscape fabric on all playground spaces. .0605(k)(1-4) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. Medication Authorization was not on file for one (1) diazepam in classroom space 8. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) 1908 A child's file did not have a statement with parent signature acknowledging receipt and explanation of the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy and/or the acknowledgement did not have all the required information. The prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy was not dated by a parent for a child whose enrollment date was 8/8/23. .0608(b)(1-6) Technical assistance was provided as follows: The following items were cited during the visit today. Compliance is due by 4/23/25: Item #541 Feeding Plan: The parent of the one (1) child must sign the feeding plan in classroom space 1. Moving forward, plan to screen all feeding plans when the parent turns them in to ensure all required information is included according to rule .0902 (a). In your letter of compliance, please include a statement that indicates the feeding plan has been signed by the parent. Item #807 Tripping Hazard: The landscape fabric must be covered or removed so that tripping hazards are eliminated. In your letter of compliance, please include a statement that indicates the landscape fabric has been removed or covered with mulch. Item #815 Electrical Cords: Plan to make all electrical cords in classrooms for infant and toddlers inaccessible. This can be accomplished by placing the cords five feet high or placing them behind furniture that is too heavy for children to move. Child Care Rule .0102 (50) defines toddlers as children ages thirteen (13) months to thirty-five (35) months. In your letter of compliance, please include a statement that indicates the electrical cords in classrooms 3 and 4 have been made inaccessible. Item #841 Medication Storage: The Benadryl was locked up during the visit today. This has been corrected. The staff member indicated that they understood the rules requiring Benadryl to be locked. Item #844 Prescription Medication Label: The parent must provide the original packaging with the prescription label for the Epipen in classroom space 1. Alternatively, the parent can request a note with written instructions signed by the prescriber. In your letter of compliance, please include a statement that indicates the original pharmacy packaging with prescription label are stored with the medication. Item #1043 Staff File Not Available for Review: All staff files must be available for review. You stated that the missing files may be at your home. Moving forward, plan to ensure staff files do not leave the facility, if possible. If they must be taken off site to continue working on them, plan to return them to the facility the next working day. In your letter of compliance, include a statement that indicates how you plan to ensure all files are on site and available for review. Item # 1044 Expired Criminal Background Check: Staff C. Gregory and B. Parrish must obtain an updated Criminal Background Check qualifying letter immediately. You have fifteen (15) days to acquire the updated Criminal Background Check qualifying letter. If the letter is not received in fifteen (15) days you will not be permitted to return to the facility until a letter is received. In your letter of compliance, include a statement that indicates the Criminal Background Check has been completed and the letter has been received. Include a statement that indicates how you will prevent this from occurring in the future. Item #1757 CBC Qualifying Letter not on File: Staff C. Gregory and B. Parrish must maintain the updated Criminal Background Check qualifying letters on site. In your letter of compliance, include a statement that indicates the letters have been placed in the staff member’s file. Item #1850 “No smoking” Sign not Posted: Signage indicating the facility is tobacco free was posted during the visit today. This is corrected. Item 1867 Mulch Depth: Mulch must be added to the playground to reach the required depths required in rule .0605 (k). We discussed that the landscape fabric is not tested for impact durability. Therefore, the mulch must be measured from the top of the landscape fabric. Please note, the mulch must be added to the appropriate depth within the fall zone according to rule .0605 (l), or six (6) feet. In your letter of compliance, include a statement that indicates the mulch has been added to the required levels according to rule. Item #1882 Medication Administration Permission/Authorization: The medical action plan on file for the diazepam in classroom space 8 did not include a statement that gives permission to the teachers/caregivers to administer the medication. The parents must complete a medication administration permission form. A copy of this form is attached to the email containing this visit summary. In your letter of compliance, include a statement that indicates the medication administration permission form has been completed by the parent and is on file. Fourteen (14) children’s files were monitored. Per Ms. Parrish, parent participation policy and the tobacco policy are included in the handbook. #1303 Children’s Application: Application must be signed by the parent/guardian All pages of the facility’s application must be maintained in the children’s files. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, include a statement that the application has been signed by the parent. #1308 Authorized Pick-up list: Application must include the names of those to whom the center is authorized to release the child. Refer to 10A NCAC 09 .0801(a)(7). In your letter of compliance, include a statement that indicates the list of individuals authorized to pick up the child have been added to the application and is on file. #1309 Application Accessible to Staff: Application must be available to review and accessible to staff member. Refer to 10A NCAC 09 .0801(d). In your letter of compliance, include a statement that indicates the application is accessible to staff. #1310 Application on File on Child’s First Day: Application must be on file on child’s first day. Refer to 10A NCAC 09 .0801(a). In your letter of compliance, please indicate how you will ensure applications are complete and on file on the child’s by the child’s first day of attendance. #1311, 1313, 1314, 1315, 1316, 1317, 1318, 1319 Child Emergency Medical Information: Emergency medical information must be on file for each child’s first day. Refer to 10A NCAC 09 .0802(c) (1-4). All of the violations above were cited based on the missing application in a child’s file. Children’s file checklist is an effective tool to maintain the children’s files and is available on the Division’s website at https://ncchildcare.ncdhhs.gov. The children’s files shall be reviewed annually to make sure that all required documents are maintained in the files. In your letter of compliance, include a statement that indicates the child’s emergency medical information is on file, complete and the authorization to for emergency medical care is sign by the parent. Indicate how you will ensure this information is complete and on file by the child’s first day of attendance. #1321 Medical assessment record: Medical assessment record must be in the child’s file before enrollment or within (30) days after admission. Please refer to G.S.110-91(1). In your letter of compliance, include a statement that indicates how you will ensure that all children have a medical assessment on file within thirty (30) days of enrollment. #1324 & #1325: Discipline policy: Discipline policy must be reviewed upon enrollment, and the statement must include the child’s name and the date of enrollment. The statement must be signed by the parent/guardian and maintained in the children’s file. Refer to 10A NCAC 09 .1804 (b) The parents of the one (1) child must sign the Discipline Policy. The signed discipline policy must be placed in the child’s file. In your letter of compliance, include a statement that indicates the discipline policy is signed and one file. #1908: Shaken Baby Syndrome and Abusive Head Trauma policy All parents/guardians must review the program’s Prevention of Shaken Baby Syndrome and Abusive Head Trauma Policy. Upon review, they have to sign and date the statement. Refer to 10A NCAC 09 .0608(b). The parents of the one (1) child must provide a date for the acknowledgement of the policy. In your letter of compliance, please indicate a statement that the policy has been dated and placed in the child’s file. #862 Emergency Medical Care plan review: Emergency Medical Care plan must be reviewed with staff member annually as well as when any changes were made. Please refer to 10A NCAC 09.0802(a). Plan to review the Emergency Medical Care Plan with all staff. In your letter of compliance, include a statement that indicates you have reviewed the EMC plan with all staff. The following violations were not cited during the visit today. Due to Tropical Storm Helene, our area is under a state of emergency. Additional time and guidance is given to achieve compliance with certain items. Please note, violations may be cited during future visits if compliance is not met: #106: The fire inspection conducted on 9/3/24 was not completed on the form provided by the Division. You stated today you have emailed the fire marshal to request the inspection on the correct form. When you receive the form, please email to me if completed digitally, or mail to me if handwritten. #1032: Medical statement Medical statement must be in staff files on or prior to first date of enrollment. Refer to 10A NCAC 09 .0701(a). #1045 and #1067: Orientation Orientation must be conducted for all new staff members, and the date you reviewed each topic must be recorded on the orientation sheet. Please complete the orientation form for C. Carver. Refer to .10A NCAC 09 .1101(a)(b). #1052: On-going training requirements Staff members are required to complete required number of on-going training hours according to their education and experience. Upon monitoring visit, we typically review the most recently completed training period. For examples, the most recent annual training period for K. Bates is 6/7/23 to 6/6/24. Required training hours are determined based on each staff members WORKS letter, not based on the education they have completed. Please make sure that each staff member submit official transcripts to the WORKS to keep the information up to date. Please refer to 10A NCAC 09 .1103(a) for details of required hours based on the education level. #1232: Staff Development Plan No staff development plans were available for review for any staff members during the visit. Staff development plan as well as annual staff evaluation are required annually for each staff member starting his/her 2nd year of employment. Date and signature of staff members on the evaluation form is strongly recommended. Please refer to 10A NCAC 09 .0514(f). Achieving Compliance: A follow-up visit will be conducted to verify compliance of the violations cited today. Per procedures, we are required to make a follow-up visit when sixteen (16) or more violations are cited. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 4/23/25. You stated the facility will be closed from 4/14/25- 4/18/25. 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 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: Please visit https://ncchildcare.ncdhhs.gov/Provider/Training-and-Professional-Development/DCDEE-Training-Approval-Renewal to request approval for Montessori trainings. We discussed the activity authorization you are currently using for permission to take children outside the fenced area is acceptable. If you want to leave the facility premises, an off-premise activity (field trip) form would be needed. We discussed you are interested in utilizing additional volunteers and staff through various community programs. We discussed, volunteers that work in other child care facilities can bring their volunteer file with them. However, you will need to ensure they are made aware of the location of your EPR plan as this is a site specific requirement. Staff that are counted in ratio will need everything a staff member needs. The volunteer file and staff file checklist are attached to the email containing this visit summary for your reference. Lead Paint and Asbestos Testing: In April 2023, North Carolina enacted final rules 10A NCAC 41C .1001-1007 requiring all public schools and child care facilities to: Test for lead in drinking/cooking water (.1005 and .2816), Identify lead-based paint hazards (.1004), Identify asbestos hazards (.1003), Mitigate or restrict access to any identified hazards. Testing is required to be completed by May 31, 2025. Attention is needed to complete lead based paint and asbestos testing. Please visit https://www.cleanwaterforuskids.org/en/carolina/ to complete testing. Criminal Background Check Provider Portal: As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-6401 and someone will assist you. Approved Space: If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Fire Inspection: Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” 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 828713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0604 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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 .0102 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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 .0302 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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 .0304 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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 .0508 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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 .0514 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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 .0604 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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 .0801 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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 .2318 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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

G.S. 110-91 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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

GS 110-91 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 5/15/2024 Number Present: 111 Completed Date: 5/15/2024 Age: From 1 To 6 Total Minutes: 385 Time In: 09:35 AM Time Out: 04:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp Full Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance visit A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Brookes Parrish, Owner/Operator, during the visit. A signed copy of the visit summary was emailed to you. B. Parrish, Karina Fricker, Administrative Assistant, and Melissa Gauthier, Lead Teacher, were 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-five percent (85%) as of 5/13/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the Limited Liability Company, Discovery Preschool, LLC., is current/active as of 5/13/24. Permit type – One (1) star license issued 8/20/20. Special Services/Restrictions – 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. The last annual compliance visit was conducted on 5/25/23. The last fire drill was practiced on 5/14/24. The last shelter-in-place drill was practiced on 3/5/24. The last playground inspection was documented on 5/14/24. The last fire inspection was approved on 6/8/23. The last sanitation inspection was conducted on 8/2/23 with eighteen (18) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The Emergency Preparedness and Response plan was updated on 8/25/23. The facility does not provide transportation. Upon arrival I was greeted by M. Gauthier. Children from classroom spaces 1 and 2 were engaged in outdoor play on playground space 1. Children were splashing in puddles, scooting and pushing wheeled toys, and climbing and sliding. Children from classroom spaces 3 and 4 were engaged in outdoor play on playground space 3. Children were observed digging with bulldozers, playing “Ring Around the Rosie”, pretending to cook and serve food. In classroom space 5, children were engaged in free choice play. Children were observed building towers with legos and wooden blocks, exploring magnatiles, matching pictures to letters, and counting objects and matching them with numerals. Children cleaned up and joined together for a large group meeting before going outside. Children from classroom spaces 6, 7, and 8 were playing outside on playground space 3. Children were observed playing hide and seek, digging with bowls and buckets, and pretending to cook and serve food. 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 415 A current schedule was not posted for each group of children for reference. A daily schedule was not posted in classroom space 5. GS 110-91(12);.0508(a) 812 Electrical outlets and power strips, not in use, which were located in space used by children did not have safety outlets or were not covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. In classroom space 2, three (3) outlets were uncovered 10A NCAC 09 .0604(c) 853 Incident logs were not completed and maintained as required. Incident logs were not completed for incidents that occurred in classroom spaces 3, 5, 7. .0802(g)(1-6) 1030 Application for employment and date of birth was not on file for all staff. Staff KE does not have an application on file. .0302(d)(1)(A) 1032 Child care providers and uncompensated providers who are not substitute providers or volunteers, including the director did not have a medical report on file prior to employment that was signed by a health care professional and/ or the medical report was older than 12 months. One (1) staff has a signed medical statement on file which is not dated. One (1) staff does not have a medical report on file. Refer to the Staff and Training Worksheet for details. 10A NCAC 09 .0701(a) 1033 On or before the first day of work, all staff, including the director and individuals who volunteer more than once per week did not provide results indicating that they were free of active TB and/or TB test or screening was older than 12 months. One (1) staff, hire date 5/6/24, does not have a TB test or screening on file. .0701(a) 1232 Each employee's personnel file did not contain an annual staff evaluation and a staff development plan. Staff AS, MB, EK do not have an annual staff evaluation and staff development plan on file. 10A NCAC 09 .0514(f) 1233 Each employee's personnel file did not contain a signed and dated statement that they received a job description and that they have received personnel and operational policies. Staff EM and CM did not have a signed receipt of the job description on file. 10A NCAC 09 .0514(g) 1314 Emergency information did not name childs health care professional. Two (2) children, do not have the responsible party’s choice of health care professional. Refer to the Children’s Records form for details. .0802(c)(2) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. In classroom space 8, the Medical Action Plan for one (1) child with asthma was not on file. .0801(b) 1835 The medical action plan was not updated on an annual basis or when changes to the plan were made by the child's parent or health care professional. In classroom space 8, the Medical Action Plan for one (1) child with allergies was completed on 10/4/22. .0801(b) Technical assistance was provided as follows: Item #415 Schedules must be posted in an area visible to parents. 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (a) All centers shall have a current schedule and activity plan for each group of children posted for reference by parents and by caregivers. The schedule and activity plan may be combined in a single document. Item #812 The outlets were covered during the visit. Please note outlets must be covered when not in use. This was corrected. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (c) When not in use, electrical outlets and power strips located in space used by children shall have safety outlets or be covered with safety plugs unless located behind furniture or equipment that cannot be moved by a child. Item #853 Plan to log incident reports for the last program year on the incident log for classrooms 3, 5, 7. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (g) An incident log shall be completed any time an incident report is completed. This log shall: (1) include the name of the child; (2) include the date of the incident; (3) include the date the incident report was submitted to the Division, if applicable; (4) include the name of the staff member who complete the incident report; (5) be cumulative and maintained in a separate file; and (6) be available for review by a representative of the Division. This log shall be completed on a form provided by the Division. A copy of the log may be found on the Division's website. Item #1030 The one (1) staff must complete an application for employment. This application must be maintained on file. 10A NCAC 09 .0302 APPLICATION FOR A LICENSE FOR A CHILD CARE CENTER (d) During the pre-licensing visit the applicant shall have the following available for review pursuant to 10A NCAC 09 .0304(g): (1) staff records that include: (A) an application for employment and date of birth; 10A NCAC 09 .2318 CHILD CARE CENTER RECORD RETENTION All records required in this Chapter shall be maintained for review by representatives of the Division as specified in G.S. 110-91(9), Rule .0304(g) of this Chapter, and as follows: (7) Each child care center shall retain records for personnel as follows: Application for Employment Item #1032 Plan to have the medical statement dated immediately. Ensure dates and signatures on future hired staff’s medical reports. Plan to have the one (1) staff obtain a medical report and place the medical report in the staff’s 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 Required For: Child care providers and uncompensated providers who are not substitute providers or volunteers as defined in 10A NCAC 09 .0102, including the director. Item: Medical Report-A statement signed by a health care professional that indicates that the person is emotionally and physically fit to care for children. Due date: Prior to employment. When submitted, the medical statement shall not be older than 12 months. Item #1033 The one (1) staff must obtain a negative TB test or screening. The test or screening must be placed in the staff member’s confidential medical file. 0A NCAC 09 .0701 HEALTH STANDARDS FOR CHILD CARE PROVIDERS, SUBSTITUTE PROVIDERS, VOLUNTEERS, AND UNCOMPENSATED PROVIDERS (a) Health and emergency information shall be obtained for staff members as specified Required for: All staff, including the director and individuals who volunteer more than once per week. Item: Tuberculin (TB) Test or Screening-The results indicating the individual is free of active tuberculosis shall be obtained within the 12 months prior to the date of employment. Due Date: On or before first day of work. Item #1232 The three (3) staff must have an annual staff evaluation and staff development plan completed and placed on file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (f) In addition to all records required in Rule .0302(d) of this Chapter, each employee's personnel file shall contain an annual staff evaluation and staff development plan. Item #1233 Staff EM and CM must sign an acknowledgement that the job description has been given to and reviewed with them. Maintain this signed acknowledgement in the staff member’s file. 10A NCAC 09 .0514 OPERATIONAL AND PERSONNEL POLICIES (g) All personnel files of employees hired after April 1, 1999, shall also include a signed and dated statement verifying that the employee received a copy of his or her job description and has reviewed the personnel and operational policies. Item #1314 The parents of the two (2) children must complete the choice of health care professional. Please note, in the future, if parents do not have an established pediatrician, they can place the nearest hospital or urgent care as the choice of health can professional and update the form as needed. 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (c) Emergency medical care information shall be on file for each child. That information shall include: (2) the responsible party's choice of health care professional Item #1834 and 1835 Medical Action Plans must be on file for each child that has a chronic or on-going health condition. The Medical Action Plan must be attached to the child’s application and can also be maintained with the medication needed to treat the condition. Medical Action Plans must be updated at least annually or as changes occur. Please note that this is required in addition to the medication administration permission forms. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/28/24. 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 that children’s incident reports must be maintained in the child’s file. Please see the rule below for details on this requirement: 10A NCAC 09 .0802 EMERGENCY MEDICAL CARE (e) The child care provider shall complete an incident report each time a child is injured as a result of an incident occurring while the child is in care. This incident report shall include: (1) facility identifying information; (2) the child's name; (3) date and time of the incident; (4) witness to the incident; (5) time the parent is notified of the incident and by whom; (6) piece of equipment involved, if applicable; (7) cause of injury, if applicable; (8) type of injury, if applicable; (9) body part injured, if applicable; (10) where the child received medical treatment, if applicable; (11) description of how and where the incident occurred, and the First Aid received; and (12) steps taken to prevent reoccurrence. This report shall be signed by the person completing it and by the parent, a copy given to the parent or the parent declining a copy and the report maintained in the child's file. A copy of the form may be found on the Division's website. We discussed requirements for Activity Plans. Please note that five (5) activities must be planned daily including one (1) gross motor activity. Currently, many classrooms only have one (1) activity per day listed. An example copy of the activity plan can be found on the division’s website at https://ncchildcare.ncdhhs.gov/Provider/Provider-Documents-and-Forms Please see the rule below for details: 10A NCAC 09 .0508 ACTIVITY SCHEDULES AND PLANS (g) The activity plan shall: (1) identify activities that allow children to choose to participate with the whole group, part of the group, or independent of the group; (2) reflect that the children have four different activities daily, at least one of which is outdoors, if weather conditions permit, as listed in G.S. 110-91(12) as follows: (A) art and other creative play; (B) children's books; (C) blocks and block building; (D) manipulatives; and (E) family living and dramatic play; and (3) include a daily gross motor activity that may occur indoors or outdoors. Plan to update the DCDEE consultant name when the Emergency Preparedness and Response Plan is updated and reviewed with staff in August 2024. Additionally, plan to remove staff who are no longer working at the facility from the Emergency Medical Care Plan. Staff, K.B. must renew health and safety training topics by 6/11/24. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0324-220L Visit Date: 3/27/2024 Number Present: 117 Completed Date: 3/27/2024 Age: From 1 To 6 Total Minutes: 195 Time In: 01:30 PM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a self-reported complaint received by the Division of Child Development and Early Education (DCDEE) on 3/18/24 and sent to Kaitlyn Marshall, Child Care Consultant, on 3/18/24. The reported concern is regarding supervision, sanitation and health. 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 Karina Fricker, Administrative Assistant, during the visit. A signed copy of the visit summary was emailed to you. Brookes Parrish, Owner/Operator, was present and available to ask and answer questions throughout the visit today. Applicable child care requirements were monitored today including supervision, handwashing, staff/child ratio, permit restrictions, approved space and capacity. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 3/27/24. The facility operates on a one (1) star license issued 8/20/20. Per report, a one year old child was left unsupervised on the playground for less than one (1) minute. Additional information was added to the report on 3/20/24. The additional information stated that handwashing does not occur before eating snack and after diaper changing. Video footage of the incident was not available for review. Upon arrival I was greeted by Melissa Gauthier, Lead Teacher. I conducted a walk through of the classrooms to gather staff/child ratio information. Child were napping in all classroom spaces. Staff/child ratios were observed as follows: Classroom space 1: Eleven (11) children ages one to two years old with three (3) caregivers. Classroom space 8: Sixteen (16) children ages three to six years old with two (2) caregivers. Classroom space 2: Eleven (11) children ages one to two years old with two (2) caregivers. Classroom space 7: Eighteen (18) children ages three to five years old with three (3) caregivers. Classroom space 3: Thirteen (13) children ages two to three years old with two (2) caregivers. Classroom space 6: Fifteen (15) children ages three to five years old with one (1) caregiver. Classroom space 4: Fifteen (15) children ages two to three years old with three (3) caregivers. Classroom space 5: Eighteen (18) children ages three to five years old present with two (2) caregivers. I spoke with three (3) staff members who were present on the day of the incident. Staff reported that the routine of coming inside from outdoor play was disrupted when a parent pulled a staff member aside at pick up. A teacher from another classroom brought the one year old child inside to their group. The staff reported the child was left outside for less than five (5) minutes but are unsure of the approximate time. The staff stated that the child was not crying and did not appear scared. Regarding handwashing, I spoke with staff about routines and practices. Staff stated that handwashing is conducted for children and staff as required in rule 15A NCAC 18A .2803. I observed handwashing and diapering in classroom space 2. Caregivers changed diapers according to procedures. The handwashing steps were followed according to rule. Due to self report, the concerns regarding supervision are substantiated. Due to the information from staff and observations made today, the concern regarding sanitation and health is unsubstantiated. 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 303 Children were not adequately supervised at all times. On 3/14/24 at approximately 4:00pm, a one year old child was left on the playground for less than five (5) minutes. .1801(a)(1-5) Technical Assistance provided as follows: Item #303 Children must be actively supervised at all times. We discussed the current steps you are implementing to ensure this lapse in supervision does not occur in the future. You are utilizing a head count feature on Brightwheel that enables you to conduct and document a head count at each crossing of the threshold. You are also reminding staff positioned at the back of the line to conduct a sweep of the outdoor area before entering the classroom. In your letter of compliance, include a statement that indicates how you will ensure this violation does not occur in the future. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/10/24. 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 that all staff must adhere to the requirements in NC Child Care rule at all times. Compliance must be maintained even when state representatives are not present at the facility. These rules are in place to ensure the safety and health of children in your care and are, therefore, required to be followed at all times. To ensure consistency with handwashing, please see the rule below and share with staff to ensure all are following procedures according to rule: 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. We discussed the routine for children upon waking from nap in classroom space 2. Currently children sit at the clean table and are pulled one by one to change diapers and wash hands. After their hands are washed, they are given snack. This routine provides a long wait time between sitting and being served snack. We discussed alternative routines that would provide a shorter wait time between sitting and eating snack, including the use of transition toys, reading books, finger play and allowing children to play before being called to change diapers and wash hands. Due to the substantiation of supervision concerns, a follow-up visit may be made. Due to the substantiation of supervision concerns, an Administrative Action may be recommended. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0324-220L Visit Date: 3/27/2024 Number Present: 117 Completed Date: 3/27/2024 Age: From 1 To 6 Total Minutes: 195 Time In: 01:30 PM Time Out: 04:45 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a self-reported complaint received by the Division of Child Development and Early Education (DCDEE) on 3/18/24 and sent to Kaitlyn Marshall, Child Care Consultant, on 3/18/24. The reported concern is regarding supervision, sanitation and health. 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 Karina Fricker, Administrative Assistant, during the visit. A signed copy of the visit summary was emailed to you. Brookes Parrish, Owner/Operator, was present and available to ask and answer questions throughout the visit today. Applicable child care requirements were monitored today including supervision, handwashing, staff/child ratio, permit restrictions, approved space and capacity. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty percent (80%) as of 3/27/24. The facility operates on a one (1) star license issued 8/20/20. Per report, a one year old child was left unsupervised on the playground for less than one (1) minute. Additional information was added to the report on 3/20/24. The additional information stated that handwashing does not occur before eating snack and after diaper changing. Video footage of the incident was not available for review. Upon arrival I was greeted by Melissa Gauthier, Lead Teacher. I conducted a walk through of the classrooms to gather staff/child ratio information. Child were napping in all classroom spaces. Staff/child ratios were observed as follows: Classroom space 1: Eleven (11) children ages one to two years old with three (3) caregivers. Classroom space 8: Sixteen (16) children ages three to six years old with two (2) caregivers. Classroom space 2: Eleven (11) children ages one to two years old with two (2) caregivers. Classroom space 7: Eighteen (18) children ages three to five years old with three (3) caregivers. Classroom space 3: Thirteen (13) children ages two to three years old with two (2) caregivers. Classroom space 6: Fifteen (15) children ages three to five years old with one (1) caregiver. Classroom space 4: Fifteen (15) children ages two to three years old with three (3) caregivers. Classroom space 5: Eighteen (18) children ages three to five years old present with two (2) caregivers. I spoke with three (3) staff members who were present on the day of the incident. Staff reported that the routine of coming inside from outdoor play was disrupted when a parent pulled a staff member aside at pick up. A teacher from another classroom brought the one year old child inside to their group. The staff reported the child was left outside for less than five (5) minutes but are unsure of the approximate time. The staff stated that the child was not crying and did not appear scared. Regarding handwashing, I spoke with staff about routines and practices. Staff stated that handwashing is conducted for children and staff as required in rule 15A NCAC 18A .2803. I observed handwashing and diapering in classroom space 2. Caregivers changed diapers according to procedures. The handwashing steps were followed according to rule. Due to self report, the concerns regarding supervision are substantiated. Due to the information from staff and observations made today, the concern regarding sanitation and health is unsubstantiated. 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 303 Children were not adequately supervised at all times. On 3/14/24 at approximately 4:00pm, a one year old child was left on the playground for less than five (5) minutes. .1801(a)(1-5) Technical Assistance provided as follows: Item #303 Children must be actively supervised at all times. We discussed the current steps you are implementing to ensure this lapse in supervision does not occur in the future. You are utilizing a head count feature on Brightwheel that enables you to conduct and document a head count at each crossing of the threshold. You are also reminding staff positioned at the back of the line to conduct a sweep of the outdoor area before entering the classroom. In your letter of compliance, include a statement that indicates how you will ensure this violation does not occur in the future. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 4/10/24. 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 that all staff must adhere to the requirements in NC Child Care rule at all times. Compliance must be maintained even when state representatives are not present at the facility. These rules are in place to ensure the safety and health of children in your care and are, therefore, required to be followed at all times. To ensure consistency with handwashing, please see the rule below and share with staff to ensure all are following procedures according to rule: 15A NCAC 18A .2803 HANDWASHING (a) Child care center employees shall wash their hands as follows when at work in a child care center: (1) upon reporting for work at the child care center: (2) before and after handling or preparing food; (3) before bottle feeding a child; (4) before providing food service; (5) before handling clean utensils; (6) after toileting or handling of body fluids, including but not limited to saliva, nasal secretions, vomitus, feces, urine, blood, secretions from sores, and pustulant discharge; (7) after diaper changing; (8) after handling soiled items that are not clean; (9) after being outdoors; (10) after handling animals or animal cages; and (11) after removing disposable gloves. (b) The use of a hand antiseptic does not replace the requirements for handwashing in Paragraph (a) of this Rule except that an employee who is supervising a child or children outdoors may use a hand antiseptic while outdoors in lieu of handwashing, provided that the employee's hands are washed in accordance with Paragraph (e) of this Rule when the employee returns indoors. Hand antiseptic shall not be used in lieu of handwashing when the employee's action that necessitates handwashing is diapering, food preparation, or food service. (c) Child care center employees shall ensure that children wash their hands as follows: (1) upon arrival at the child care center; (2) after each diaper change or visit to the toilet; (3) before eating meals or snacks; (4) before and after water play; (5) after being outdoors; and (6) after handling animals or animal cages. (d) Except when the action that necessitates handwashing is diapering and before eating meals or snacks, hand antiseptics may be used in lieu of handwashing while a child is outdoors, provided that the child's hands are washed when the child returns indoors. (e) Handwashing procedures shall include the following steps: (1) using liquid soap and tempered water; (2) rubbing hands vigorously with soap and tempered water for 15 seconds; (3) washing all surfaces of the hands, to include the backs of hands, palms, wrists, under fingernails, and between fingers; (4) rinsing the hands under tempered water for 10 seconds; (5) drying the hands with a paper towel or other hand-drying device; and (6) turning off faucet with a paper towel or other method without recontaminating hands. We discussed the routine for children upon waking from nap in classroom space 2. Currently children sit at the clean table and are pulled one by one to change diapers and wash hands. After their hands are washed, they are given snack. This routine provides a long wait time between sitting and being served snack. We discussed alternative routines that would provide a shorter wait time between sitting and eating snack, including the use of transition toys, reading books, finger play and allowing children to play before being called to change diapers and wash hands. Due to the substantiation of supervision concerns, a follow-up visit may be made. Due to the substantiation of supervision concerns, an Administrative Action may be recommended. 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 .0604 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0124-195L Visit Date: 1/23/2024 Number Present: 111 Completed Date: 1/23/2024 Age: From 1 To 6 Total Minutes: 135 Time In: 09:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 1/18/24 and sent to Kaitlyn Marshall, Child Care Consultant, on 1/19/24. The reported concern is regarding sanitation and health. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant. Brookes Parrish, Owner Manager, was present and available to ask and answer questions throughout the visit today. The facility operates with a one (1) star permit issued on 8/20/20 with restrictions as follows: 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. Limited monitoring of child care requirements occurred during the visit today including health and sanitation. One hundred eleven (111) children ages one (1) to six (6) years old were present at the facility today. Per report, the heat in the building is not working and some classrooms are at sixty (60) degrees or less. Per Ms. Parrish’s report, there was a heating outage on 1/17/24. The heat was not working upon arrival to the facility. Per Ms. Parrish’s report, the heat was repaired by 5:30pm on 1/17/24. Per weather records, the highest temperature recorded that day was thirty-four (34) degrees. Classroom space 8 was affected by the heating outage. I spoke with the teachers in classroom space 8 (MC and CB). Both teachers stated that the thermostat was blank and did not display a temperature reading on the day of the outage. The teachers stated that children and staff wore their coats in the classroom while the heating system was repaired. Teacher MC stated that some children requested to take their coats off as they warmed up. Ms. Parrish stated that the doors leading to the hallway were left open to increase warm air flow to the affected classroom. Ms. Parrish stated that she does not believe that the temperatures dropped below sixty (60) degrees. Ms. Parrish stated that the temperature may have dropped below sixty-five (65) degrees but the exact temperature is unknown. All thermostats were monitored during the visit today. There are four (4) thermostats for classroom in the building. The thermostat in classroom space 8 read sixty-nine (69) degrees Fahrenheit. The thermostat in classroom space 1 read sixty-seven (67) degrees Fahrenheit. The thermostat in classroom space 3 read sixty-eight (68) degrees Fahrenheit. The thermostat in classroom space 6 read seventy (70) degrees Fahrenheit. In classroom space 8, there were fifteen (15) children present ages two and a half to five years old. There were two (2) teachers present. Children were observed creating art with markers and colored pencils, and engaged in a teacher-led memory card game. In classroom space 1, there were ten (10) children present age one year old. There were two (2) teachers present. Children were observed exploring latches and knobs on a busy board. In classroom space 3, there were sixteen (16) children present ages two to three years old. There were two (2) teachers present. Children were observed engaged in independent self-care activities such as washing hands and eating snack brought from home. In classroom space 6, there were seventeen (17) children present ages three to five years old. There were three (3) teachers present. Children were observed building small structures with magnatiles and pretending to vacuum with a child-sized toy vacuum. Interactions were positive and nurturing. Children were actively supervised at all times. Due to the fact that the affected classroom was operating during the outage, the weather temperature high was thirty-four (34) degrees on the day of the outage, and the operator’s report that the temperature may have dropped below the required temperature minimum of sixty-five degrees, the complaint is substantiated. The following violations were cited today: Violation Number Comment Rule 9995 A violation was found for which there is no item number. On 1/17/24, a heating outage occurred that affected classroom space 8. The classroom continued to operate and children were cared for in the space while repairs were made. Item #9995 Classrooms where children are cared for must be between sixty-five (65) and eighty-five (85) degrees Fahrenheit. Submit a plan that indicates how you will ensure children are being cared for in spaces that are outside of the required temperature range. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. 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 2/6/24. 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 that space heaters pose a possible fire hazard. Plan to contact your fire marshal’s office before implementing the use of a backup heating source. Additionally, electronics with a heating element and their cords cannot be accessible to children five years old and younger according to the rule below: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS(e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. We discussed purchasing an ambient air thermometer to ensure an accurate reading of classroom temperatures in the event of another outage. 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 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0124-195L Visit Date: 1/23/2024 Number Present: 111 Completed Date: 1/23/2024 Age: From 1 To 6 Total Minutes: 135 Time In: 09:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today's unannounced visit was to investigate a complaint received by the Division of Child Development and Early Education (DCDEE) on 1/18/24 and sent to Kaitlyn Marshall, Child Care Consultant, on 1/19/24. The reported concern is regarding sanitation and health. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant. Brookes Parrish, Owner Manager, was present and available to ask and answer questions throughout the visit today. The facility operates with a one (1) star permit issued on 8/20/20 with restrictions as follows: 1st shift (daytime care), meets enhanced ratios, children under 2.5 years old in rooms with direct exits only. The facility serves children with special needs. Limited monitoring of child care requirements occurred during the visit today including health and sanitation. One hundred eleven (111) children ages one (1) to six (6) years old were present at the facility today. Per report, the heat in the building is not working and some classrooms are at sixty (60) degrees or less. Per Ms. Parrish’s report, there was a heating outage on 1/17/24. The heat was not working upon arrival to the facility. Per Ms. Parrish’s report, the heat was repaired by 5:30pm on 1/17/24. Per weather records, the highest temperature recorded that day was thirty-four (34) degrees. Classroom space 8 was affected by the heating outage. I spoke with the teachers in classroom space 8 (MC and CB). Both teachers stated that the thermostat was blank and did not display a temperature reading on the day of the outage. The teachers stated that children and staff wore their coats in the classroom while the heating system was repaired. Teacher MC stated that some children requested to take their coats off as they warmed up. Ms. Parrish stated that the doors leading to the hallway were left open to increase warm air flow to the affected classroom. Ms. Parrish stated that she does not believe that the temperatures dropped below sixty (60) degrees. Ms. Parrish stated that the temperature may have dropped below sixty-five (65) degrees but the exact temperature is unknown. All thermostats were monitored during the visit today. There are four (4) thermostats for classroom in the building. The thermostat in classroom space 8 read sixty-nine (69) degrees Fahrenheit. The thermostat in classroom space 1 read sixty-seven (67) degrees Fahrenheit. The thermostat in classroom space 3 read sixty-eight (68) degrees Fahrenheit. The thermostat in classroom space 6 read seventy (70) degrees Fahrenheit. In classroom space 8, there were fifteen (15) children present ages two and a half to five years old. There were two (2) teachers present. Children were observed creating art with markers and colored pencils, and engaged in a teacher-led memory card game. In classroom space 1, there were ten (10) children present age one year old. There were two (2) teachers present. Children were observed exploring latches and knobs on a busy board. In classroom space 3, there were sixteen (16) children present ages two to three years old. There were two (2) teachers present. Children were observed engaged in independent self-care activities such as washing hands and eating snack brought from home. In classroom space 6, there were seventeen (17) children present ages three to five years old. There were three (3) teachers present. Children were observed building small structures with magnatiles and pretending to vacuum with a child-sized toy vacuum. Interactions were positive and nurturing. Children were actively supervised at all times. Due to the fact that the affected classroom was operating during the outage, the weather temperature high was thirty-four (34) degrees on the day of the outage, and the operator’s report that the temperature may have dropped below the required temperature minimum of sixty-five degrees, the complaint is substantiated. The following violations were cited today: Violation Number Comment Rule 9995 A violation was found for which there is no item number. On 1/17/24, a heating outage occurred that affected classroom space 8. The classroom continued to operate and children were cared for in the space while repairs were made. Item #9995 Classrooms where children are cared for must be between sixty-five (65) and eighty-five (85) degrees Fahrenheit. Submit a plan that indicates how you will ensure children are being cared for in spaces that are outside of the required temperature range. 15A NCAC 18A .2826 LIGHTING AND THERMAL ENVIRONMENT (b) All rooms used by children shall be heated, cooled, and ventilated to maintain an ambient temperature between 65 degrees Fahrenheit and 85 degrees Fahrenheit. Ventilation may be in the form of openable windows with screens or by means of mechanical ventilation to the outside of the building. Windows and window treatments shall be kept clean and in good repair. All ventilation equipment, including air supply diffusers, return grilles, and fans shall be kept clean and in good repair. 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 2/6/24. 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 that space heaters pose a possible fire hazard. Plan to contact your fire marshal’s office before implementing the use of a backup heating source. Additionally, electronics with a heating element and their cords cannot be accessible to children five years old and younger according to the rule below: 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS(e) All electrical appliances shall be used only in accordance with the manufacturer's instructions. For appliances with heating elements, such as bottle warmers, crock pots, irons, coffee pots, or curling irons, neither the appliance nor any cord shall be accessible to preschool-age children. We discussed purchasing an ambient air thermometer to ensure an accurate reading of classroom temperatures in the event of another outage. 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 kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0302 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 104 Completed Date: 11/30/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Karina Fricker, Administrative Assistant, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fricker 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-two percent (82%) as of 11/27/23. The last fire drill was practiced on 11/16/23. The last emergency drill, lockdown drill, was practiced on 9/5/23. The last fire inspection was approved on 6/8/23. The program’s most recent sanitation inspection was completed on 8/2/23, with eighteen (18) demerits for an approved rating. The Emergency Medical Care Plan was posted and current. There are three (3) new staff. Three (3) new staff files were monitored today. During the walk through, I was accompanied by Melissa Gauthier, Lead Teacher. In classroom space 1, children pushed wheeled toys, climbed up steps and participated in a teacher led painting activity. In classroom space 2, children discussed the colors of magnatiles with caregivers, explored small rubber blocks and carried stuffed animals. In classroom space 3, children transitioned to outdoor play and were soothed by caregivers. In classroom space 4, children dressed in coats, hats and gloves to prepare to play outdoors, with the help of caregivers. In classroom space 5, children explored puzzles, counting activities and explored a sensory bin with small pinecones and tree ornaments. In classroom space 6, children matched pictures and objects with beginning letter sounds and explored sounds by shaking cylinders filled with various materials. In classroom space 7, children decorated a felt board tree, engaged in water and sand play and traced shapes with stencils. In classroom space 8, children compared lengths of wooden rods, ate snack brought from home and read books. Interactions were positive and nurturing. The needs of children were met immediately. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill documented on the Emergency Drill Log occurred on 9/28/23. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom space 8, two (2) bottles of Tylenol were stored on a shelf inaccessible to children, but not in locked storage. 15A NCAC 18A .2820(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) new staff members did not have documentation of orientation training on file. .1101(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. One (1) staff, date of employment 9/30/21, had a First Aid certification on file that expired 10/2023. .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. One (1) staff, date of employment 9/30/21, had a CPR certification on file that expired 10/2023. .1102(d) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child enrolled in classroom space 8 did not have a Medical Action Plan on file for allergies requiring an Epipen. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground spaces 1 and 3, mulch around the climbers measured less than one (1) inch in various places. .0605(k)(1-4) 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. Two (2) new staff did not have a signed acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) Technical Assistance provided as follows: Item #805 The fire drill log was completed during the visit today. Moving forward, we discussed either posting this drill log or placing it in a binder that is easy to find for quick access and documentation. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #841 The two (2) bottles of Tylenol were placed in locked storage during the visit. Emergency medication such as Epipens and inhalers may be stored inaccessible to children at five (5) feet or higher. Tylenol and Benadryl are not considered emergency medication. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1045 Plan to document orientation on the DCDEE form and maintain this documentation in the staff member’s file. Documentation of the three (3) staff members orientation was completed and placed in the file during the visit today. We discussed that many orientation topics are covered over a two (2) week observation period. Plan to document the final date this period is completed as the date the topic is covered. This was corrected. 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 #1048 and 1049 Staff member KM must receive CPR/First Aid training immediately. Please notify me when the staff member is registered for a course. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1834 The one (1) child must have a medical action plan on file for allergies. The parent was contacted during the visit and informed of the documentation needed. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Item #1867 Plan to add mulch to the climbers on playground space 1 and playground space 3. Please see the rule below for required depth of surfacing. Please note that the surfacing must extend six (6) feet beyond the structure as this is considered the fall zone: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Item #1874 The two (2) staff signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgment during the visit today. Moving forward, plan to have this acknowledgement signed prior to the individual caring for children. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. 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: The staff who was trained in playground safety has left the facility. A new staff member must receive this training to continue to conducted playground inspections. Please visit https://buncombepfc.org/training/ and have a staff member register for the Playground Safety training on 12/7/23. It is recommended that more than one staff receive this training. We discussed water bottle storage in classrooms. Recent clarification from Environmental Health states that water bottles must be stored separately to prevent contamination. Water bottles can be taken outside collectively, but must return to individual storage upon returning to the classroom. We discussed the medical report, TB test and Health Questionnaire for staff must be maintained in a separate, confidential file. We discussed the First Aid training that was given to multiple staff to reach compliance in June 2023. We discussed the trainer stated that they could not provide a certificate or card for the First Aid training alone, but would reissue CPR/First Aid cards when it was time to renew for staff. Plan to maintain the roster or additional form of documentation of this separate First Aid training in the files of the staff members who attended the training. Plan to remove staff who have left the facility from the Emergency Medical Care Plan. I met with Karina Fricker, Administrative Assistant, today to provide Technical Assistance on staff and children’s files. We reviewed the checklists for Staff, Substitutes, Volunteers, Children and Program records today. We discussed the benefits of creating a “Licensing Notebook” for program records including safety drill log, fire inspection, sanitation inspection, Emergency Preparedness and Response plan, playground inspections, incident log and staff and training worksheets. We discussed storage of staff files using binders and tabs to identify different sections. The file checklists were emailed to Ms. Fricker during the visit today. We discussed the staff and training worksheet. We discussed the benefits of maintaining this document electronically so that updates can be made as needed. Staff member LG is due to receive CPR/First Aid training by 12/4/23. We discussed that children cannot use the climbers on playground spaces 1 and 3 until mulch is added. Due to the consecutive CPR/First Aid violations, an Administrative Action may be recommended. 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 .0604 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 104 Completed Date: 11/30/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Karina Fricker, Administrative Assistant, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fricker 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-two percent (82%) as of 11/27/23. The last fire drill was practiced on 11/16/23. The last emergency drill, lockdown drill, was practiced on 9/5/23. The last fire inspection was approved on 6/8/23. The program’s most recent sanitation inspection was completed on 8/2/23, with eighteen (18) demerits for an approved rating. The Emergency Medical Care Plan was posted and current. There are three (3) new staff. Three (3) new staff files were monitored today. During the walk through, I was accompanied by Melissa Gauthier, Lead Teacher. In classroom space 1, children pushed wheeled toys, climbed up steps and participated in a teacher led painting activity. In classroom space 2, children discussed the colors of magnatiles with caregivers, explored small rubber blocks and carried stuffed animals. In classroom space 3, children transitioned to outdoor play and were soothed by caregivers. In classroom space 4, children dressed in coats, hats and gloves to prepare to play outdoors, with the help of caregivers. In classroom space 5, children explored puzzles, counting activities and explored a sensory bin with small pinecones and tree ornaments. In classroom space 6, children matched pictures and objects with beginning letter sounds and explored sounds by shaking cylinders filled with various materials. In classroom space 7, children decorated a felt board tree, engaged in water and sand play and traced shapes with stencils. In classroom space 8, children compared lengths of wooden rods, ate snack brought from home and read books. Interactions were positive and nurturing. The needs of children were met immediately. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill documented on the Emergency Drill Log occurred on 9/28/23. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom space 8, two (2) bottles of Tylenol were stored on a shelf inaccessible to children, but not in locked storage. 15A NCAC 18A .2820(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) new staff members did not have documentation of orientation training on file. .1101(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. One (1) staff, date of employment 9/30/21, had a First Aid certification on file that expired 10/2023. .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. One (1) staff, date of employment 9/30/21, had a CPR certification on file that expired 10/2023. .1102(d) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child enrolled in classroom space 8 did not have a Medical Action Plan on file for allergies requiring an Epipen. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground spaces 1 and 3, mulch around the climbers measured less than one (1) inch in various places. .0605(k)(1-4) 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. Two (2) new staff did not have a signed acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) Technical Assistance provided as follows: Item #805 The fire drill log was completed during the visit today. Moving forward, we discussed either posting this drill log or placing it in a binder that is easy to find for quick access and documentation. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #841 The two (2) bottles of Tylenol were placed in locked storage during the visit. Emergency medication such as Epipens and inhalers may be stored inaccessible to children at five (5) feet or higher. Tylenol and Benadryl are not considered emergency medication. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1045 Plan to document orientation on the DCDEE form and maintain this documentation in the staff member’s file. Documentation of the three (3) staff members orientation was completed and placed in the file during the visit today. We discussed that many orientation topics are covered over a two (2) week observation period. Plan to document the final date this period is completed as the date the topic is covered. This was corrected. 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 #1048 and 1049 Staff member KM must receive CPR/First Aid training immediately. Please notify me when the staff member is registered for a course. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1834 The one (1) child must have a medical action plan on file for allergies. The parent was contacted during the visit and informed of the documentation needed. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Item #1867 Plan to add mulch to the climbers on playground space 1 and playground space 3. Please see the rule below for required depth of surfacing. Please note that the surfacing must extend six (6) feet beyond the structure as this is considered the fall zone: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Item #1874 The two (2) staff signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgment during the visit today. Moving forward, plan to have this acknowledgement signed prior to the individual caring for children. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. 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: The staff who was trained in playground safety has left the facility. A new staff member must receive this training to continue to conducted playground inspections. Please visit https://buncombepfc.org/training/ and have a staff member register for the Playground Safety training on 12/7/23. It is recommended that more than one staff receive this training. We discussed water bottle storage in classrooms. Recent clarification from Environmental Health states that water bottles must be stored separately to prevent contamination. Water bottles can be taken outside collectively, but must return to individual storage upon returning to the classroom. We discussed the medical report, TB test and Health Questionnaire for staff must be maintained in a separate, confidential file. We discussed the First Aid training that was given to multiple staff to reach compliance in June 2023. We discussed the trainer stated that they could not provide a certificate or card for the First Aid training alone, but would reissue CPR/First Aid cards when it was time to renew for staff. Plan to maintain the roster or additional form of documentation of this separate First Aid training in the files of the staff members who attended the training. Plan to remove staff who have left the facility from the Emergency Medical Care Plan. I met with Karina Fricker, Administrative Assistant, today to provide Technical Assistance on staff and children’s files. We reviewed the checklists for Staff, Substitutes, Volunteers, Children and Program records today. We discussed the benefits of creating a “Licensing Notebook” for program records including safety drill log, fire inspection, sanitation inspection, Emergency Preparedness and Response plan, playground inspections, incident log and staff and training worksheets. We discussed storage of staff files using binders and tabs to identify different sections. The file checklists were emailed to Ms. Fricker during the visit today. We discussed the staff and training worksheet. We discussed the benefits of maintaining this document electronically so that updates can be made as needed. Staff member LG is due to receive CPR/First Aid training by 12/4/23. We discussed that children cannot use the climbers on playground spaces 1 and 3 until mulch is added. Due to the consecutive CPR/First Aid violations, an Administrative Action may be recommended. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0605 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 104 Completed Date: 11/30/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Karina Fricker, Administrative Assistant, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fricker 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-two percent (82%) as of 11/27/23. The last fire drill was practiced on 11/16/23. The last emergency drill, lockdown drill, was practiced on 9/5/23. The last fire inspection was approved on 6/8/23. The program’s most recent sanitation inspection was completed on 8/2/23, with eighteen (18) demerits for an approved rating. The Emergency Medical Care Plan was posted and current. There are three (3) new staff. Three (3) new staff files were monitored today. During the walk through, I was accompanied by Melissa Gauthier, Lead Teacher. In classroom space 1, children pushed wheeled toys, climbed up steps and participated in a teacher led painting activity. In classroom space 2, children discussed the colors of magnatiles with caregivers, explored small rubber blocks and carried stuffed animals. In classroom space 3, children transitioned to outdoor play and were soothed by caregivers. In classroom space 4, children dressed in coats, hats and gloves to prepare to play outdoors, with the help of caregivers. In classroom space 5, children explored puzzles, counting activities and explored a sensory bin with small pinecones and tree ornaments. In classroom space 6, children matched pictures and objects with beginning letter sounds and explored sounds by shaking cylinders filled with various materials. In classroom space 7, children decorated a felt board tree, engaged in water and sand play and traced shapes with stencils. In classroom space 8, children compared lengths of wooden rods, ate snack brought from home and read books. Interactions were positive and nurturing. The needs of children were met immediately. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill documented on the Emergency Drill Log occurred on 9/28/23. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom space 8, two (2) bottles of Tylenol were stored on a shelf inaccessible to children, but not in locked storage. 15A NCAC 18A .2820(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) new staff members did not have documentation of orientation training on file. .1101(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. One (1) staff, date of employment 9/30/21, had a First Aid certification on file that expired 10/2023. .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. One (1) staff, date of employment 9/30/21, had a CPR certification on file that expired 10/2023. .1102(d) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child enrolled in classroom space 8 did not have a Medical Action Plan on file for allergies requiring an Epipen. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground spaces 1 and 3, mulch around the climbers measured less than one (1) inch in various places. .0605(k)(1-4) 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. Two (2) new staff did not have a signed acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) Technical Assistance provided as follows: Item #805 The fire drill log was completed during the visit today. Moving forward, we discussed either posting this drill log or placing it in a binder that is easy to find for quick access and documentation. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #841 The two (2) bottles of Tylenol were placed in locked storage during the visit. Emergency medication such as Epipens and inhalers may be stored inaccessible to children at five (5) feet or higher. Tylenol and Benadryl are not considered emergency medication. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1045 Plan to document orientation on the DCDEE form and maintain this documentation in the staff member’s file. Documentation of the three (3) staff members orientation was completed and placed in the file during the visit today. We discussed that many orientation topics are covered over a two (2) week observation period. Plan to document the final date this period is completed as the date the topic is covered. This was corrected. 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 #1048 and 1049 Staff member KM must receive CPR/First Aid training immediately. Please notify me when the staff member is registered for a course. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1834 The one (1) child must have a medical action plan on file for allergies. The parent was contacted during the visit and informed of the documentation needed. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Item #1867 Plan to add mulch to the climbers on playground space 1 and playground space 3. Please see the rule below for required depth of surfacing. Please note that the surfacing must extend six (6) feet beyond the structure as this is considered the fall zone: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Item #1874 The two (2) staff signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgment during the visit today. Moving forward, plan to have this acknowledgement signed prior to the individual caring for children. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. 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: The staff who was trained in playground safety has left the facility. A new staff member must receive this training to continue to conducted playground inspections. Please visit https://buncombepfc.org/training/ and have a staff member register for the Playground Safety training on 12/7/23. It is recommended that more than one staff receive this training. We discussed water bottle storage in classrooms. Recent clarification from Environmental Health states that water bottles must be stored separately to prevent contamination. Water bottles can be taken outside collectively, but must return to individual storage upon returning to the classroom. We discussed the medical report, TB test and Health Questionnaire for staff must be maintained in a separate, confidential file. We discussed the First Aid training that was given to multiple staff to reach compliance in June 2023. We discussed the trainer stated that they could not provide a certificate or card for the First Aid training alone, but would reissue CPR/First Aid cards when it was time to renew for staff. Plan to maintain the roster or additional form of documentation of this separate First Aid training in the files of the staff members who attended the training. Plan to remove staff who have left the facility from the Emergency Medical Care Plan. I met with Karina Fricker, Administrative Assistant, today to provide Technical Assistance on staff and children’s files. We reviewed the checklists for Staff, Substitutes, Volunteers, Children and Program records today. We discussed the benefits of creating a “Licensing Notebook” for program records including safety drill log, fire inspection, sanitation inspection, Emergency Preparedness and Response plan, playground inspections, incident log and staff and training worksheets. We discussed storage of staff files using binders and tabs to identify different sections. The file checklists were emailed to Ms. Fricker during the visit today. We discussed the staff and training worksheet. We discussed the benefits of maintaining this document electronically so that updates can be made as needed. Staff member LG is due to receive CPR/First Aid training by 12/4/23. We discussed that children cannot use the climbers on playground spaces 1 and 3 until mulch is added. Due to the consecutive CPR/First Aid violations, an Administrative Action may be recommended. 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 .0608 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 104 Completed Date: 11/30/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Karina Fricker, Administrative Assistant, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fricker 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-two percent (82%) as of 11/27/23. The last fire drill was practiced on 11/16/23. The last emergency drill, lockdown drill, was practiced on 9/5/23. The last fire inspection was approved on 6/8/23. The program’s most recent sanitation inspection was completed on 8/2/23, with eighteen (18) demerits for an approved rating. The Emergency Medical Care Plan was posted and current. There are three (3) new staff. Three (3) new staff files were monitored today. During the walk through, I was accompanied by Melissa Gauthier, Lead Teacher. In classroom space 1, children pushed wheeled toys, climbed up steps and participated in a teacher led painting activity. In classroom space 2, children discussed the colors of magnatiles with caregivers, explored small rubber blocks and carried stuffed animals. In classroom space 3, children transitioned to outdoor play and were soothed by caregivers. In classroom space 4, children dressed in coats, hats and gloves to prepare to play outdoors, with the help of caregivers. In classroom space 5, children explored puzzles, counting activities and explored a sensory bin with small pinecones and tree ornaments. In classroom space 6, children matched pictures and objects with beginning letter sounds and explored sounds by shaking cylinders filled with various materials. In classroom space 7, children decorated a felt board tree, engaged in water and sand play and traced shapes with stencils. In classroom space 8, children compared lengths of wooden rods, ate snack brought from home and read books. Interactions were positive and nurturing. The needs of children were met immediately. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill documented on the Emergency Drill Log occurred on 9/28/23. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom space 8, two (2) bottles of Tylenol were stored on a shelf inaccessible to children, but not in locked storage. 15A NCAC 18A .2820(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) new staff members did not have documentation of orientation training on file. .1101(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. One (1) staff, date of employment 9/30/21, had a First Aid certification on file that expired 10/2023. .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. One (1) staff, date of employment 9/30/21, had a CPR certification on file that expired 10/2023. .1102(d) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child enrolled in classroom space 8 did not have a Medical Action Plan on file for allergies requiring an Epipen. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground spaces 1 and 3, mulch around the climbers measured less than one (1) inch in various places. .0605(k)(1-4) 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. Two (2) new staff did not have a signed acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) Technical Assistance provided as follows: Item #805 The fire drill log was completed during the visit today. Moving forward, we discussed either posting this drill log or placing it in a binder that is easy to find for quick access and documentation. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #841 The two (2) bottles of Tylenol were placed in locked storage during the visit. Emergency medication such as Epipens and inhalers may be stored inaccessible to children at five (5) feet or higher. Tylenol and Benadryl are not considered emergency medication. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1045 Plan to document orientation on the DCDEE form and maintain this documentation in the staff member’s file. Documentation of the three (3) staff members orientation was completed and placed in the file during the visit today. We discussed that many orientation topics are covered over a two (2) week observation period. Plan to document the final date this period is completed as the date the topic is covered. This was corrected. 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 #1048 and 1049 Staff member KM must receive CPR/First Aid training immediately. Please notify me when the staff member is registered for a course. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1834 The one (1) child must have a medical action plan on file for allergies. The parent was contacted during the visit and informed of the documentation needed. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Item #1867 Plan to add mulch to the climbers on playground space 1 and playground space 3. Please see the rule below for required depth of surfacing. Please note that the surfacing must extend six (6) feet beyond the structure as this is considered the fall zone: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Item #1874 The two (2) staff signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgment during the visit today. Moving forward, plan to have this acknowledgement signed prior to the individual caring for children. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. 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: The staff who was trained in playground safety has left the facility. A new staff member must receive this training to continue to conducted playground inspections. Please visit https://buncombepfc.org/training/ and have a staff member register for the Playground Safety training on 12/7/23. It is recommended that more than one staff receive this training. We discussed water bottle storage in classrooms. Recent clarification from Environmental Health states that water bottles must be stored separately to prevent contamination. Water bottles can be taken outside collectively, but must return to individual storage upon returning to the classroom. We discussed the medical report, TB test and Health Questionnaire for staff must be maintained in a separate, confidential file. We discussed the First Aid training that was given to multiple staff to reach compliance in June 2023. We discussed the trainer stated that they could not provide a certificate or card for the First Aid training alone, but would reissue CPR/First Aid cards when it was time to renew for staff. Plan to maintain the roster or additional form of documentation of this separate First Aid training in the files of the staff members who attended the training. Plan to remove staff who have left the facility from the Emergency Medical Care Plan. I met with Karina Fricker, Administrative Assistant, today to provide Technical Assistance on staff and children’s files. We reviewed the checklists for Staff, Substitutes, Volunteers, Children and Program records today. We discussed the benefits of creating a “Licensing Notebook” for program records including safety drill log, fire inspection, sanitation inspection, Emergency Preparedness and Response plan, playground inspections, incident log and staff and training worksheets. We discussed storage of staff files using binders and tabs to identify different sections. The file checklists were emailed to Ms. Fricker during the visit today. We discussed the staff and training worksheet. We discussed the benefits of maintaining this document electronically so that updates can be made as needed. Staff member LG is due to receive CPR/First Aid training by 12/4/23. We discussed that children cannot use the climbers on playground spaces 1 and 3 until mulch is added. Due to the consecutive CPR/First Aid violations, an Administrative Action may be recommended. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0801 · Violation

Name of Operation: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 104 Completed Date: 11/30/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Karina Fricker, Administrative Assistant, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fricker 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-two percent (82%) as of 11/27/23. The last fire drill was practiced on 11/16/23. The last emergency drill, lockdown drill, was practiced on 9/5/23. The last fire inspection was approved on 6/8/23. The program’s most recent sanitation inspection was completed on 8/2/23, with eighteen (18) demerits for an approved rating. The Emergency Medical Care Plan was posted and current. There are three (3) new staff. Three (3) new staff files were monitored today. During the walk through, I was accompanied by Melissa Gauthier, Lead Teacher. In classroom space 1, children pushed wheeled toys, climbed up steps and participated in a teacher led painting activity. In classroom space 2, children discussed the colors of magnatiles with caregivers, explored small rubber blocks and carried stuffed animals. In classroom space 3, children transitioned to outdoor play and were soothed by caregivers. In classroom space 4, children dressed in coats, hats and gloves to prepare to play outdoors, with the help of caregivers. In classroom space 5, children explored puzzles, counting activities and explored a sensory bin with small pinecones and tree ornaments. In classroom space 6, children matched pictures and objects with beginning letter sounds and explored sounds by shaking cylinders filled with various materials. In classroom space 7, children decorated a felt board tree, engaged in water and sand play and traced shapes with stencils. In classroom space 8, children compared lengths of wooden rods, ate snack brought from home and read books. Interactions were positive and nurturing. The needs of children were met immediately. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill documented on the Emergency Drill Log occurred on 9/28/23. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom space 8, two (2) bottles of Tylenol were stored on a shelf inaccessible to children, but not in locked storage. 15A NCAC 18A .2820(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) new staff members did not have documentation of orientation training on file. .1101(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. One (1) staff, date of employment 9/30/21, had a First Aid certification on file that expired 10/2023. .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. One (1) staff, date of employment 9/30/21, had a CPR certification on file that expired 10/2023. .1102(d) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child enrolled in classroom space 8 did not have a Medical Action Plan on file for allergies requiring an Epipen. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground spaces 1 and 3, mulch around the climbers measured less than one (1) inch in various places. .0605(k)(1-4) 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. Two (2) new staff did not have a signed acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) Technical Assistance provided as follows: Item #805 The fire drill log was completed during the visit today. Moving forward, we discussed either posting this drill log or placing it in a binder that is easy to find for quick access and documentation. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #841 The two (2) bottles of Tylenol were placed in locked storage during the visit. Emergency medication such as Epipens and inhalers may be stored inaccessible to children at five (5) feet or higher. Tylenol and Benadryl are not considered emergency medication. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1045 Plan to document orientation on the DCDEE form and maintain this documentation in the staff member’s file. Documentation of the three (3) staff members orientation was completed and placed in the file during the visit today. We discussed that many orientation topics are covered over a two (2) week observation period. Plan to document the final date this period is completed as the date the topic is covered. This was corrected. 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 #1048 and 1049 Staff member KM must receive CPR/First Aid training immediately. Please notify me when the staff member is registered for a course. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1834 The one (1) child must have a medical action plan on file for allergies. The parent was contacted during the visit and informed of the documentation needed. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Item #1867 Plan to add mulch to the climbers on playground space 1 and playground space 3. Please see the rule below for required depth of surfacing. Please note that the surfacing must extend six (6) feet beyond the structure as this is considered the fall zone: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Item #1874 The two (2) staff signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgment during the visit today. Moving forward, plan to have this acknowledgement signed prior to the individual caring for children. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. 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: The staff who was trained in playground safety has left the facility. A new staff member must receive this training to continue to conducted playground inspections. Please visit https://buncombepfc.org/training/ and have a staff member register for the Playground Safety training on 12/7/23. It is recommended that more than one staff receive this training. We discussed water bottle storage in classrooms. Recent clarification from Environmental Health states that water bottles must be stored separately to prevent contamination. Water bottles can be taken outside collectively, but must return to individual storage upon returning to the classroom. We discussed the medical report, TB test and Health Questionnaire for staff must be maintained in a separate, confidential file. We discussed the First Aid training that was given to multiple staff to reach compliance in June 2023. We discussed the trainer stated that they could not provide a certificate or card for the First Aid training alone, but would reissue CPR/First Aid cards when it was time to renew for staff. Plan to maintain the roster or additional form of documentation of this separate First Aid training in the files of the staff members who attended the training. Plan to remove staff who have left the facility from the Emergency Medical Care Plan. I met with Karina Fricker, Administrative Assistant, today to provide Technical Assistance on staff and children’s files. We reviewed the checklists for Staff, Substitutes, Volunteers, Children and Program records today. We discussed the benefits of creating a “Licensing Notebook” for program records including safety drill log, fire inspection, sanitation inspection, Emergency Preparedness and Response plan, playground inspections, incident log and staff and training worksheets. We discussed storage of staff files using binders and tabs to identify different sections. The file checklists were emailed to Ms. Fricker during the visit today. We discussed the staff and training worksheet. We discussed the benefits of maintaining this document electronically so that updates can be made as needed. Staff member LG is due to receive CPR/First Aid training by 12/4/23. We discussed that children cannot use the climbers on playground spaces 1 and 3 until mulch is added. Due to the consecutive CPR/First Aid violations, an Administrative Action may be recommended. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 104 Completed Date: 11/30/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Karina Fricker, Administrative Assistant, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fricker 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-two percent (82%) as of 11/27/23. The last fire drill was practiced on 11/16/23. The last emergency drill, lockdown drill, was practiced on 9/5/23. The last fire inspection was approved on 6/8/23. The program’s most recent sanitation inspection was completed on 8/2/23, with eighteen (18) demerits for an approved rating. The Emergency Medical Care Plan was posted and current. There are three (3) new staff. Three (3) new staff files were monitored today. During the walk through, I was accompanied by Melissa Gauthier, Lead Teacher. In classroom space 1, children pushed wheeled toys, climbed up steps and participated in a teacher led painting activity. In classroom space 2, children discussed the colors of magnatiles with caregivers, explored small rubber blocks and carried stuffed animals. In classroom space 3, children transitioned to outdoor play and were soothed by caregivers. In classroom space 4, children dressed in coats, hats and gloves to prepare to play outdoors, with the help of caregivers. In classroom space 5, children explored puzzles, counting activities and explored a sensory bin with small pinecones and tree ornaments. In classroom space 6, children matched pictures and objects with beginning letter sounds and explored sounds by shaking cylinders filled with various materials. In classroom space 7, children decorated a felt board tree, engaged in water and sand play and traced shapes with stencils. In classroom space 8, children compared lengths of wooden rods, ate snack brought from home and read books. Interactions were positive and nurturing. The needs of children were met immediately. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill documented on the Emergency Drill Log occurred on 9/28/23. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom space 8, two (2) bottles of Tylenol were stored on a shelf inaccessible to children, but not in locked storage. 15A NCAC 18A .2820(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) new staff members did not have documentation of orientation training on file. .1101(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. One (1) staff, date of employment 9/30/21, had a First Aid certification on file that expired 10/2023. .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. One (1) staff, date of employment 9/30/21, had a CPR certification on file that expired 10/2023. .1102(d) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child enrolled in classroom space 8 did not have a Medical Action Plan on file for allergies requiring an Epipen. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground spaces 1 and 3, mulch around the climbers measured less than one (1) inch in various places. .0605(k)(1-4) 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. Two (2) new staff did not have a signed acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) Technical Assistance provided as follows: Item #805 The fire drill log was completed during the visit today. Moving forward, we discussed either posting this drill log or placing it in a binder that is easy to find for quick access and documentation. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #841 The two (2) bottles of Tylenol were placed in locked storage during the visit. Emergency medication such as Epipens and inhalers may be stored inaccessible to children at five (5) feet or higher. Tylenol and Benadryl are not considered emergency medication. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1045 Plan to document orientation on the DCDEE form and maintain this documentation in the staff member’s file. Documentation of the three (3) staff members orientation was completed and placed in the file during the visit today. We discussed that many orientation topics are covered over a two (2) week observation period. Plan to document the final date this period is completed as the date the topic is covered. This was corrected. 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 #1048 and 1049 Staff member KM must receive CPR/First Aid training immediately. Please notify me when the staff member is registered for a course. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1834 The one (1) child must have a medical action plan on file for allergies. The parent was contacted during the visit and informed of the documentation needed. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Item #1867 Plan to add mulch to the climbers on playground space 1 and playground space 3. Please see the rule below for required depth of surfacing. Please note that the surfacing must extend six (6) feet beyond the structure as this is considered the fall zone: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Item #1874 The two (2) staff signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgment during the visit today. Moving forward, plan to have this acknowledgement signed prior to the individual caring for children. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. 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: The staff who was trained in playground safety has left the facility. A new staff member must receive this training to continue to conducted playground inspections. Please visit https://buncombepfc.org/training/ and have a staff member register for the Playground Safety training on 12/7/23. It is recommended that more than one staff receive this training. We discussed water bottle storage in classrooms. Recent clarification from Environmental Health states that water bottles must be stored separately to prevent contamination. Water bottles can be taken outside collectively, but must return to individual storage upon returning to the classroom. We discussed the medical report, TB test and Health Questionnaire for staff must be maintained in a separate, confidential file. We discussed the First Aid training that was given to multiple staff to reach compliance in June 2023. We discussed the trainer stated that they could not provide a certificate or card for the First Aid training alone, but would reissue CPR/First Aid cards when it was time to renew for staff. Plan to maintain the roster or additional form of documentation of this separate First Aid training in the files of the staff members who attended the training. Plan to remove staff who have left the facility from the Emergency Medical Care Plan. I met with Karina Fricker, Administrative Assistant, today to provide Technical Assistance on staff and children’s files. We reviewed the checklists for Staff, Substitutes, Volunteers, Children and Program records today. We discussed the benefits of creating a “Licensing Notebook” for program records including safety drill log, fire inspection, sanitation inspection, Emergency Preparedness and Response plan, playground inspections, incident log and staff and training worksheets. We discussed storage of staff files using binders and tabs to identify different sections. The file checklists were emailed to Ms. Fricker during the visit today. We discussed the staff and training worksheet. We discussed the benefits of maintaining this document electronically so that updates can be made as needed. Staff member LG is due to receive CPR/First Aid training by 12/4/23. We discussed that children cannot use the climbers on playground spaces 1 and 3 until mulch is added. Due to the consecutive CPR/First Aid violations, an Administrative Action may be recommended. 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: DISCOVERY MONTESSORI SCHOOL Facility ID: 11000831 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/30/2023 Number Present: 104 Completed Date: 11/30/2023 Age: From 1 To 5 Total Minutes: 340 Time In: 09:20 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor 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 Karina Fricker, Administrative Assistant, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Fricker 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-two percent (82%) as of 11/27/23. The last fire drill was practiced on 11/16/23. The last emergency drill, lockdown drill, was practiced on 9/5/23. The last fire inspection was approved on 6/8/23. The program’s most recent sanitation inspection was completed on 8/2/23, with eighteen (18) demerits for an approved rating. The Emergency Medical Care Plan was posted and current. There are three (3) new staff. Three (3) new staff files were monitored today. During the walk through, I was accompanied by Melissa Gauthier, Lead Teacher. In classroom space 1, children pushed wheeled toys, climbed up steps and participated in a teacher led painting activity. In classroom space 2, children discussed the colors of magnatiles with caregivers, explored small rubber blocks and carried stuffed animals. In classroom space 3, children transitioned to outdoor play and were soothed by caregivers. In classroom space 4, children dressed in coats, hats and gloves to prepare to play outdoors, with the help of caregivers. In classroom space 5, children explored puzzles, counting activities and explored a sensory bin with small pinecones and tree ornaments. In classroom space 6, children matched pictures and objects with beginning letter sounds and explored sounds by shaking cylinders filled with various materials. In classroom space 7, children decorated a felt board tree, engaged in water and sand play and traced shapes with stencils. In classroom space 8, children compared lengths of wooden rods, ate snack brought from home and read books. Interactions were positive and nurturing. The needs of children were met immediately. Children were actively supervised at all times. I used the Child Care Center Item Number Listing (DCDEE-0357) as a basic monitoring tool to assess compliance with all applicable child care requirements pertinent to this facility. For specific rule references, refer to Chapter 110 General Statues Child Care Facilities, Chapter nine (9) Child Care Rule (10A NCAC 09) and Section 2800 Sanitation of Child Care Center (15A NCAC 18A) for additional information. Updated copies of these rules can be located on our website at https://ncchildcare.ncdhhs.gov/ The following violations were cited during the visit today: Violation Number Comment Rule 805 Fire drills were not practiced monthly and/or the drill record was incomplete. The last fire drill documented on the Emergency Drill Log occurred on 9/28/23. .0604(t); .0302(d)(5) 841 Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container. In classroom space 8, two (2) bottles of Tylenol were stored on a shelf inaccessible to children, but not in locked storage. 15A NCAC 18A .2820(d) 1045 New staff, who had contact with children, did not receive at least 16 hrs. orientation within first 6 weeks. Three (3) new staff members did not have documentation of orientation training on file. .1101(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. One (1) staff, date of employment 9/30/21, had a First Aid certification on file that expired 10/2023. .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. One (1) staff, date of employment 9/30/21, had a CPR certification on file that expired 10/2023. .1102(d) 1834 Application did not have a medical action plan attached for any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services. One (1) child enrolled in classroom space 8 did not have a Medical Action Plan on file for allergies requiring an Epipen. .0801(b) 1867 The depth of the loose surfacing was not based on critical height of the equipment. On playground spaces 1 and 3, mulch around the climbers measured less than one (1) inch in various places. .0605(k)(1-4) 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. Two (2) new staff did not have a signed acknowledgement for the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy on file. .0608(d)(1-4) Technical Assistance provided as follows: Item #805 The fire drill log was completed during the visit today. Moving forward, we discussed either posting this drill log or placing it in a binder that is easy to find for quick access and documentation. 10A NCAC 09 .0604 SAFETY REQUIREMENTS FOR CHILD CARE CENTERS (t) Fire drills shall be practiced monthly and records shall be maintained as required by 10A NCAC 09 .0302(d)(5). Item #841 The two (2) bottles of Tylenol were placed in locked storage during the visit. Emergency medication such as Epipens and inhalers may be stored inaccessible to children at five (5) feet or higher. Tylenol and Benadryl are not considered emergency medication. 15A NCAC 18A .2820 STORAGE (d) Medications including prescription and non-prescription items shall be stored in a locked cabinet or other locked container and shall not be stored above food. Designated emergency medications shall be kept inaccessible to children, but are not required to be in locked storage. Non-prescription diaper creams and sunscreen shall be kept inaccessible to children when not in use, but are not required to be in locked storage. Item #1045 Plan to document orientation on the DCDEE form and maintain this documentation in the staff member’s file. Documentation of the three (3) staff members orientation was completed and placed in the file during the visit today. We discussed that many orientation topics are covered over a two (2) week observation period. Plan to document the final date this period is completed as the date the topic is covered. This was corrected. 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 #1048 and 1049 Staff member KM must receive CPR/First Aid training immediately. Please notify me when the staff member is registered for a course. (c) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in First Aid appropriate to the ages of children in care. The training shall be completed by June 30, 2018, or for new staff hired on or after September 1, 2017, training must be completed within 90 days of employment. Distance learning shall not be permitted for First Aid training. At all times when children are in care at least one staff member present must have successfully completed First Aid training, as evidenced by a certificate or card from an approved training organization. First Aid training shall be renewed on or before expiration of the certification. "Successfully completed" is defined as demonstrating competency, as evaluated by the instructor. Verification of each required staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. (d) All staff who provide direct care or accompany children when they are off premises shall successfully complete certification in a cardiopulmonary resuscitation (CPR) course appropriate to the ages of children in care. At all times when children are in care one staff member present must have successfully completed CPR training. The training shall be completed by June 30, 2018 or for new staff hired on or after September 1, 2017 training must be completed within 90 days of employment. Distance learning shall not be permitted for CPR training. CPR training shall be renewed on or before the expiration of the certification. Verification of each staff member's completion of this course from an approved training organization shall be maintained in the staff member's file in the center. The Division shall post a list of approved training organizations on its website. Item #1834 The one (1) child must have a medical action plan on file for allergies. The parent was contacted during the visit and informed of the documentation needed. 10A NCAC 09 .0801 APPLICATION FOR ENROLLMENT (b) For any child with health care needs such as allergies, asthma, or other chronic conditions that require specialized health services, a medical action plan shall be attached to the application. The medical action plan shall be completed by the child's parent or a health care professional and may include the following: (1) a list of the child's diagnosis or diagnoses including dietary, environmental, and activity considerations that are applicable; (2) contact information for the child's health care professional(s); (3) medications to be administered on a scheduled basis; and (4) medications to be administered on an emergency basis with symptoms, and instructions. The medical action plan shall be updated on an annual basis and when changes to the plan are made by the child's parent or health care professional. Sample medical action plans may be found on the Division's website. Item #1867 Plan to add mulch to the climbers on playground space 1 and playground space 3. Please see the rule below for required depth of surfacing. Please note that the surfacing must extend six (6) feet beyond the structure as this is considered the fall zone: 10A NCAC 09 .0605 OUTDOOR LEARNING ENVIRONMENT IN CHILD CARE CENTERS (k) The depth of the loose surfacing material shall be based on the critical height of the equipment, which is defined as the maximum height that a child may sit, or stand, as follows: (1) equipment with a critical height of 5 feet or less shall have 6 inches of loose surface materials; (2) equipment with a critical height of more than 5 feet, but less than 7 feet, shall have 6 inches of loose surfacing material, except for sand; (3) equipment with a critical height of 7 feet to 10 feet shall have 9 inches of any of the loose surfacing material, except for sand; and (4) when sand is used as a surfacing material for equipment with a critical height of more than 5 feet, 12 inches shall be required. (l) Protective surfacing shall cover the area under and around equipment where a child may fall, referred to as the fall zone. The area for fall zones is as follows: (1) for stationary outdoor equipment used by children under two years of age, the protective surfacing shall extend beyond the external limits of the equipment for a minimum of three feet, except that protective surfacing shall be required at all points of entrance and exit for any structure that has a protective barrier; and (2) for stationary outdoor equipment used by children two years of age or older, the protective surfacing shall extend beyond the external limits of the equipment for six feet; Item #1874 The two (2) staff signed the Prevention of Shaken Baby Syndrome and Abusive Head Trauma policy acknowledgment during the visit today. Moving forward, plan to have this acknowledgement signed prior to the individual caring for children. 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. Corrective Action Plan: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/14/23. 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: The staff who was trained in playground safety has left the facility. A new staff member must receive this training to continue to conducted playground inspections. Please visit https://buncombepfc.org/training/ and have a staff member register for the Playground Safety training on 12/7/23. It is recommended that more than one staff receive this training. We discussed water bottle storage in classrooms. Recent clarification from Environmental Health states that water bottles must be stored separately to prevent contamination. Water bottles can be taken outside collectively, but must return to individual storage upon returning to the classroom. We discussed the medical report, TB test and Health Questionnaire for staff must be maintained in a separate, confidential file. We discussed the First Aid training that was given to multiple staff to reach compliance in June 2023. We discussed the trainer stated that they could not provide a certificate or card for the First Aid training alone, but would reissue CPR/First Aid cards when it was time to renew for staff. Plan to maintain the roster or additional form of documentation of this separate First Aid training in the files of the staff members who attended the training. Plan to remove staff who have left the facility from the Emergency Medical Care Plan. I met with Karina Fricker, Administrative Assistant, today to provide Technical Assistance on staff and children’s files. We reviewed the checklists for Staff, Substitutes, Volunteers, Children and Program records today. We discussed the benefits of creating a “Licensing Notebook” for program records including safety drill log, fire inspection, sanitation inspection, Emergency Preparedness and Response plan, playground inspections, incident log and staff and training worksheets. We discussed storage of staff files using binders and tabs to identify different sections. The file checklists were emailed to Ms. Fricker during the visit today. We discussed the staff and training worksheet. We discussed the benefits of maintaining this document electronically so that updates can be made as needed. Staff member LG is due to receive CPR/First Aid training by 12/4/23. We discussed that children cannot use the climbers on playground spaces 1 and 3 until mulch is added. Due to the consecutive CPR/First Aid violations, an Administrative Action may be recommended. 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