Irene Wortham Early Learning Center

10A NCAC 09 .0102 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0726-042L Visit Date: 7/8/2026 Number Present: 43 Completed Date: 7/8/2026 Age: From 0 To 5 Total Minutes: 135 Time In: 09:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. During today’s visit, Kathleen McDavid, Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the information with Ms. McDavid, and additional staff members. Limited monitoring of child care requirements was conducted today to include supervision, staff/child ratios, adequate use of space, permit restrictions, and program records. The program operates with a five-star center license issued on 12/9/24 with restrictions: daytime care, meets enhanced space and reduced ratios. The program is certified Developmental Day. The program’s compliance history rate was eighty-five (85) percent as of today prior to this visit. There is a concern of inadequate supervision. At approximately 10:28 am on June 2nd, 2026, a staff member entered Classroom B from the playground, to go on his/her break and failed to lock the door behind him/her. At approximately 10:36 am, the camera in Classroom B showed a child who was two (2) years of age, opening Classroom B door from the playground and entering the classroom, unattended. The child was in the classroom until approximately 10:41 am, when a staff member from the reception area came into the classroom from the hallway and another staff member came through the playground door with the rest of the class. Video footage was reviewed during today’s visit. The course of events mostly aligned with the statement provided by the provider. The only difference between the statement and the video footage was that the child was not seen being found by the front desk personnel, as the camera did not cover all areas of the classroom. The child was found by a staff member who brought three (3) children into the classroom. Based on information obtained, the following was determined. A child, who was two (2) years of age, was left unattended in the classroom from 10:36 am to 10:41 am on June 2, 2026, until other staff members found him/her. The child came into the classroom from playground alone during playground time. Per the operator’s self-report, staff interviews and video footage, the concern regarding supervision is confirmed or unconfirmed. Walk-through: The following staff/child ratios were monitored. Classroom A: nine (9) children, three-to-five years of age, were present with three (3) staff members. This classroom is Developmental-Day. Classroom B: ten (10) children, two-to-three years of age, were present with three (3) staff members. Classroom C: six (6) children, three-to-five years of age, were present with two (2) staff members. This classroom is Developmental Day. Classroom D: three (3) children, all one (1) year of age, were present with two (2) staff members. Classroom E: three (3) children, all one (1) year of age, were present with two (2) staff members. Classroom F: eight (8) children, one-to-two years of age, were present with three (3) staff members. Classroom G: not in use during visit. Classroom H: four (4)N children, all two (2) years of age, were present with two (2) staff members. Children in A, B, C played on the playground. Staff members positioned themselves around the playground and supervised them. One (1) visitor was present to observe, and one (1) therapist was present to work with a child. Children rode tricycles, played in a sandbox with accessories, rode a sensory swing and conversed with staff members. The playground is accessible directly from classrooms A, B, and C. According to Ms. McDavid, the doors in classrooms A and C automatically lock when closed. However, the door in classroom B must be manually locked with a key. Ms. McDavid is currently working with the maintenance crew to have the lock changed. A push bar is used to exit to the playground from the classrooms, while handles are used to enter the classrooms from the playground. Children in E and F also played in the younger children’s playground. Children pushed toy lawnmowers, walked around and explored the environment. Some staff members took a few children to the classroom to change diapers as needed. Supervision and interaction were adequate in each classroom. Program Records: The program utilizes Kaymbu app to record name-to-face and head counts. I reviewed the record of one (1) child on June 28, 2026. For name-to-face checks, time of the check, location, class, and the person who documented were recorded. For headcount checks, time of the check and the person who documented it were recorded. Per Ms. McDavid, the incident occurred in between head count and name-to-face checks. The following violation was documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child, who was two (2) years of age, was left unattended in the classroom from 10:36 am to 10:41 am on June 2, 2026, until other staff members found him/her. The child came into the classroom from playground alone during playground time. .1801(a)(1-5) Technical assistance was provided as follows: 303: supervision Children must be adequately supervised at all times. After the incident, the program implemented corrective actions. The staff member who was involved in the incident received a disciplinary action. Additionally, all staff members reviewed the program’s supervision policy, zoning and building and premises safety procedures. All staff training was completed on July 2, 2026, and the training log was submitted to me prior to this visit. Additional online training on supervision was assigned to each staff, and he/she must complete them by July 10, 2026. Based on the procedures, staff members were instructed to implement the following: • Staff must monitor sign-in/out sheets as children arrive and departure • Staff shall adequately supervise children by positioning themselves in the zoned area, communicating with each other when children are heading to another zone. • Playground name-to-face check must be completed every twenty (20) minutes on iPad by staff members • Staff shall conduct head counts throughout the date and in between playground name-to-face checks • Upon entering or exiting the playground, staff must ensure that the door is locked and the key must be placed on the key hanger by the door (out-of-reach of children). Staff shall double check that the door is closed completely. During today’s visit, name-to-face check and headcounts records were monitored on Kaymbu app. Zoning of staff members were observed on the large playground. Per Ms. McDavid, a few staff members had completed the supervision training and more will today and coming days. Based on the implementation of corrective actions, this violation was corrected by Consultant visit. Due to the nature of violation, you may be warranted administrative action. Follow-up visit may be conducted following procedures for administrative action. Consultation is provided as follows: Teacher aide: During today’s visit, we discussed potential employee who is currently seventeen (17) years of age. 10A NCAC 09 .0102 DEFINITIONS (52) Teachers aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAORU EDDINS Operation Type: Center Case Number: 0726-042L Visit Date: 7/8/2026 Number Present: 43 Completed Date: 7/8/2026 Age: From 0 To 5 Total Minutes: 135 Time In: 09:15 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. During today’s visit, Kathleen McDavid, Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the information with Ms. McDavid, and additional staff members. Limited monitoring of child care requirements was conducted today to include supervision, staff/child ratios, adequate use of space, permit restrictions, and program records. The program operates with a five-star center license issued on 12/9/24 with restrictions: daytime care, meets enhanced space and reduced ratios. The program is certified Developmental Day. The program’s compliance history rate was eighty-five (85) percent as of today prior to this visit. There is a concern of inadequate supervision. At approximately 10:28 am on June 2nd, 2026, a staff member entered Classroom B from the playground, to go on his/her break and failed to lock the door behind him/her. At approximately 10:36 am, the camera in Classroom B showed a child who was two (2) years of age, opening Classroom B door from the playground and entering the classroom, unattended. The child was in the classroom until approximately 10:41 am, when a staff member from the reception area came into the classroom from the hallway and another staff member came through the playground door with the rest of the class. Video footage was reviewed during today’s visit. The course of events mostly aligned with the statement provided by the provider. The only difference between the statement and the video footage was that the child was not seen being found by the front desk personnel, as the camera did not cover all areas of the classroom. The child was found by a staff member who brought three (3) children into the classroom. Based on information obtained, the following was determined. A child, who was two (2) years of age, was left unattended in the classroom from 10:36 am to 10:41 am on June 2, 2026, until other staff members found him/her. The child came into the classroom from playground alone during playground time. Per the operator’s self-report, staff interviews and video footage, the concern regarding supervision is confirmed or unconfirmed. Walk-through: The following staff/child ratios were monitored. Classroom A: nine (9) children, three-to-five years of age, were present with three (3) staff members. This classroom is Developmental-Day. Classroom B: ten (10) children, two-to-three years of age, were present with three (3) staff members. Classroom C: six (6) children, three-to-five years of age, were present with two (2) staff members. This classroom is Developmental Day. Classroom D: three (3) children, all one (1) year of age, were present with two (2) staff members. Classroom E: three (3) children, all one (1) year of age, were present with two (2) staff members. Classroom F: eight (8) children, one-to-two years of age, were present with three (3) staff members. Classroom G: not in use during visit. Classroom H: four (4)N children, all two (2) years of age, were present with two (2) staff members. Children in A, B, C played on the playground. Staff members positioned themselves around the playground and supervised them. One (1) visitor was present to observe, and one (1) therapist was present to work with a child. Children rode tricycles, played in a sandbox with accessories, rode a sensory swing and conversed with staff members. The playground is accessible directly from classrooms A, B, and C. According to Ms. McDavid, the doors in classrooms A and C automatically lock when closed. However, the door in classroom B must be manually locked with a key. Ms. McDavid is currently working with the maintenance crew to have the lock changed. A push bar is used to exit to the playground from the classrooms, while handles are used to enter the classrooms from the playground. Children in E and F also played in the younger children’s playground. Children pushed toy lawnmowers, walked around and explored the environment. Some staff members took a few children to the classroom to change diapers as needed. Supervision and interaction were adequate in each classroom. Program Records: The program utilizes Kaymbu app to record name-to-face and head counts. I reviewed the record of one (1) child on June 28, 2026. For name-to-face checks, time of the check, location, class, and the person who documented were recorded. For headcount checks, time of the check and the person who documented it were recorded. Per Ms. McDavid, the incident occurred in between head count and name-to-face checks. The following violation was documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. A child, who was two (2) years of age, was left unattended in the classroom from 10:36 am to 10:41 am on June 2, 2026, until other staff members found him/her. The child came into the classroom from playground alone during playground time. .1801(a)(1-5) Technical assistance was provided as follows: 303: supervision Children must be adequately supervised at all times. After the incident, the program implemented corrective actions. The staff member who was involved in the incident received a disciplinary action. Additionally, all staff members reviewed the program’s supervision policy, zoning and building and premises safety procedures. All staff training was completed on July 2, 2026, and the training log was submitted to me prior to this visit. Additional online training on supervision was assigned to each staff, and he/she must complete them by July 10, 2026. Based on the procedures, staff members were instructed to implement the following: • Staff must monitor sign-in/out sheets as children arrive and departure • Staff shall adequately supervise children by positioning themselves in the zoned area, communicating with each other when children are heading to another zone. • Playground name-to-face check must be completed every twenty (20) minutes on iPad by staff members • Staff shall conduct head counts throughout the date and in between playground name-to-face checks • Upon entering or exiting the playground, staff must ensure that the door is locked and the key must be placed on the key hanger by the door (out-of-reach of children). Staff shall double check that the door is closed completely. During today’s visit, name-to-face check and headcounts records were monitored on Kaymbu app. Zoning of staff members were observed on the large playground. Per Ms. McDavid, a few staff members had completed the supervision training and more will today and coming days. Based on the implementation of corrective actions, this violation was corrected by Consultant visit. Due to the nature of violation, you may be warranted administrative action. Follow-up visit may be conducted following procedures for administrative action. Consultation is provided as follows: Teacher aide: During today’s visit, we discussed potential employee who is currently seventeen (17) years of age. 10A NCAC 09 .0102 DEFINITIONS (52) Teachers aide" or "Aide" means a person who assists the lead teacher or the teacher in planning and implementing the daily program. A teacher's aide shall be at least 16 years old and less than 18 years old, shall be literate, and may count in staff/child ratio as long as there is also a credentialed staff person who is at least 21 years of age present in the room and available to respond to the needs of the teacher's aide and children in care. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaoru.eddins@dhhs.nc.gov or 828.556.9013, 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 5 Total Minutes: 280 Time In: 09:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/9/26. Permit type – Five (5) star license issued 12/9/24. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Certified Developmental Day. The last annual compliance visit was conducted on 11/20/25. The last fire drill was practiced on 5/27/26. The last shelter-in-place drill was practiced on 5/14/26. The last fire inspection was approved on 9/2/25. The last sanitation inspection was conducted on 10/28/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/18/25 without hazards. Lead paint was completed on 9/7/24. Asbestos testing was completed on 2/28/24. Upon arrival I was greeted by Ms. McDavid, and Jennifer Gerringer, Children’s Services Coordinator. Both Ms. McDavid and Ms. Gerringer assisted me on the visit today. Children from classrooms A, B and C were exploring the outdoor learning environment. Children rode on tricycles, played hide and seek with teachers and practiced scooping and dumping sand in a sandbox. In classroom space D, children were exploring their environment through cruising and scooting and explored various rattling toys. In classroom space E, children practiced stacking interlocking plastic blocks at a table as a teacher changed diapers and assisted children with washing hands. In classroom space F, children explored the outdoor learning environment and then transitioned indoors. Upon transitioning, a head count and name to face count was conducted. Children washed hands and played in centers as staff called children to change diapers. In classroom space H, children were engaged in a large group, teacher-led story time activity using a felt board. 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 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for K. McDavid expired on 5/26/26. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The Criminal Background Check qualification letter for K. McDavid expired on 5/26/26 G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #1044 and #1757: To reach compliance with this item, K. McDavid must receive an updated Criminal Background Check (CBC) qualification letter and a copy of the letter must be placed in their staff file. Ms. McDavid completed the application and scheduled an appointment for fingerprinting during the visit today. As a reminder, back-to-back violations regarding CBC may result in an Administrative Action recommendation. In your letter of compliance, include a statement that indicates the updated CBC letter has been received and has been placed in the staff file for K. McDavid. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/26. 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: Criminal Background Check and ABCMS: Several staff will be due to renew their Criminal Background Check (CBC) qualification letters: M. Buckner expires 10/28/26 H. Hall expires 10/29/26 J. McElreath expires 11/4/26 These staff can begin the process to renew their CBC immediately as they are within six months of the expiration of the current letter. As a reminder, all staff must be connected to the facility in the ABCMS Provider Portal within five (5) days of hire. We discussed adding this step to the orientation training staff receive beginning on their first day of employment. Room Shift: On 6/1/26, Ms. McDavid emailed me to informed of an intended shift in ages in classrooms E and G. Currently, classroom G is closed, but the facility plans to open it as a younger one year old classroom. Classroom E currently serves one year old children, but the facility plans to utilize this space as a second infant classroom. Ms. McDavid has reached out to Environmental Heath and has scheduled a visit to ensure diapering, toileting and food preparation areas are adequate to support this change. The classrooms were observed during the visit today. Currently, the only food prep area with a bottle warmer and refrigerator is located in classroom space D. Classroom spaces D and E are separated by a partial wall with a gate giving access to both spaces. We discussed the possibility of both classrooms utilizing the food prep area in D, however this could create potential supervision and/or staff ratio issues if staff have to leave space E to get bottles in space D. Additionally, you will need this plan approved by Environmental Health. We discussed it may be best for classroom space E to have its own approved food prep area with a bottle warmer and refrigerator that is suitable to store bottles. We discussed bottle warmers must be made inaccessible to children. In classroom space E, the bottle warmer would need to be located on a shelf five (5) feet high and the cords for the bottle warmer would need to be made inaccessible to children. After the Environmental Health visit, please send me any documentation that they provide regarding approval of the spaces for the intended age change. Please note, if there are any concerns with the plans in place, a follow-up visit may be needed. Staff Files: We discussed you are currently in the process of moving staff files to electronic storage in Paycom. While reviewing staff files, some items were unable to be located immediately and required some searching. I recommend maintaining paper files for licensing requirements while the transition to electronic storage is occurring to avoid any violations or confusion during future monitoring visits. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 6/10/2026 Number Present: 47 Completed Date: 6/10/2026 Age: From 0 To 5 Total Minutes: 280 Time In: 09:20 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Routine Unannounced Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during a Routine Unannounced visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, CPR/First Aid, special training, CBC qualification, Emergency Medical Care plan, administration of medication, storage of hazardous products, storage of medication, general safety, adequate/approved space, program records, license posted. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-three percent (83%) as of 6/9/26. Permit type – Five (5) star license issued 12/9/24. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Certified Developmental Day. The last annual compliance visit was conducted on 11/20/25. The last fire drill was practiced on 5/27/26. The last shelter-in-place drill was practiced on 5/14/26. The last fire inspection was approved on 9/2/25. The last sanitation inspection was conducted on 10/28/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. Lead water testing was completed on 3/18/25 without hazards. Lead paint was completed on 9/7/24. Asbestos testing was completed on 2/28/24. Upon arrival I was greeted by Ms. McDavid, and Jennifer Gerringer, Children’s Services Coordinator. Both Ms. McDavid and Ms. Gerringer assisted me on the visit today. Children from classrooms A, B and C were exploring the outdoor learning environment. Children rode on tricycles, played hide and seek with teachers and practiced scooping and dumping sand in a sandbox. In classroom space D, children were exploring their environment through cruising and scooting and explored various rattling toys. In classroom space E, children practiced stacking interlocking plastic blocks at a table as a teacher changed diapers and assisted children with washing hands. In classroom space F, children explored the outdoor learning environment and then transitioned indoors. Upon transitioning, a head count and name to face count was conducted. Children washed hands and played in centers as staff called children to change diapers. In classroom space H, children were engaged in a large group, teacher-led story time activity using a felt board. 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 1044 Prior to the expiration date of the qualification letter, the child care provider did not complete and submit required forms to complete a criminal background check (a qualification letter is valid for a maximum of five years for the date of issuance). The Criminal Background Check qualification letter for K. McDavid expired on 5/26/26. G.S. 110-90.2(b) & .2703(n)&(o) 1757 A valid qualification letter was not on file and available to review at the facility. The Criminal Background Check qualification letter for K. McDavid expired on 5/26/26 G.S. 110-90.2(b) & (d) & .2703(e) Technical assistance was provided as follows: Item #1044 and #1757: To reach compliance with this item, K. McDavid must receive an updated Criminal Background Check (CBC) qualification letter and a copy of the letter must be placed in their staff file. Ms. McDavid completed the application and scheduled an appointment for fingerprinting during the visit today. As a reminder, back-to-back violations regarding CBC may result in an Administrative Action recommendation. In your letter of compliance, include a statement that indicates the updated CBC letter has been received and has been placed in the staff file for K. McDavid. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Name and position of individual submitting compliance statement • Date of visit • Violation item number • Signed statement of compliance I must receive your compliance statement by 6/24/26. 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: Criminal Background Check and ABCMS: Several staff will be due to renew their Criminal Background Check (CBC) qualification letters: M. Buckner expires 10/28/26 H. Hall expires 10/29/26 J. McElreath expires 11/4/26 These staff can begin the process to renew their CBC immediately as they are within six months of the expiration of the current letter. As a reminder, all staff must be connected to the facility in the ABCMS Provider Portal within five (5) days of hire. We discussed adding this step to the orientation training staff receive beginning on their first day of employment. Room Shift: On 6/1/26, Ms. McDavid emailed me to informed of an intended shift in ages in classrooms E and G. Currently, classroom G is closed, but the facility plans to open it as a younger one year old classroom. Classroom E currently serves one year old children, but the facility plans to utilize this space as a second infant classroom. Ms. McDavid has reached out to Environmental Heath and has scheduled a visit to ensure diapering, toileting and food preparation areas are adequate to support this change. The classrooms were observed during the visit today. Currently, the only food prep area with a bottle warmer and refrigerator is located in classroom space D. Classroom spaces D and E are separated by a partial wall with a gate giving access to both spaces. We discussed the possibility of both classrooms utilizing the food prep area in D, however this could create potential supervision and/or staff ratio issues if staff have to leave space E to get bottles in space D. Additionally, you will need this plan approved by Environmental Health. We discussed it may be best for classroom space E to have its own approved food prep area with a bottle warmer and refrigerator that is suitable to store bottles. We discussed bottle warmers must be made inaccessible to children. In classroom space E, the bottle warmer would need to be located on a shelf five (5) feet high and the cords for the bottle warmer would need to be made inaccessible to children. After the Environmental Health visit, please send me any documentation that they provide regarding approval of the spaces for the intended age change. Please note, if there are any concerns with the plans in place, a follow-up visit may be needed. Staff Files: We discussed you are currently in the process of moving staff files to electronic storage in Paycom. While reviewing staff files, some items were unable to be located immediately and required some searching. I recommend maintaining paper files for licensing requirements while the transition to electronic storage is occurring to avoid any violations or confusion during future monitoring visits. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0426-338L Visit Date: 5/6/2026 Number Present: 49 Completed Date: 5/6/2026 Age: From 0 To 5 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. During today’s visit, Kathleen McDavid, Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the information with Kathleen McDavid and additional staff members. Limited monitoring of child care requirements was conducted today to include discipline. There is a concern that a child was handled roughly, resulting in a dislocated elbow (nursemaid’s elbow). On 4/22/26, a teacher pulled a child’s arm toward them to assist with putting on a jacket. This resulted in the elbow dislocation. I interviewed three (3) staff. I reviewed the video footage from the incident on 4/22/26. I observed classroom space B for the purposes of monitoring nurture/care. I observed all classroom spaces for the purposes of monitoring staff/child ratio, group size, supervision, nurture/care and discipline. Video footage from 4/22/26 was reviewed during the visit today. The time stamp on the video footage showed the incident occurred at approximately 9:18am. You stated the time on the footage is ahead approximately seven (7) minutes, placing the incident at approximately 9:11am. Based on the self-report, interviews and video footage, the concern regarding nurture/care is confirmed. The following violations were documented during today’s visit: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On 4/22/26 at approximately 9:11am, a teacher in classroom space B assisted a two year old child with putting on their sweater. The teacher got up from a seated position, held the child’s hand, and sat back down while holding the child’s hand, pulling the child toward them. A nursemaid’s elbow injury occurred as a result. G.S. 110-91(10) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. The incident report for an incident that occurred on 4/22/26 was given to a Division representative on 5/6/26. .0802(f) Technical assistance was provided as follows: Item #902: We discussed the following has already been completed as a response to the incident: -The incident was self-reported by Ms. McDavid to me on 4/23/26, via telephone and email. -The teacher was retrained on the causes, symptoms and prevention of Nursemaid’s elbow by the Administrator on 4/23/26. The Administrator used the North Carolina Child Care Health and Safety Resource Center as a resource for retraining the staff. Signed documentation of the training was available for review during the visit today. -The teacher reviewed the facility’s discipline and proper handling policies on 4/23/26. Signed documentation of the review was available for review during the visit today. Due to the extensive corrective action you have already taken to respond to the incident, a follow-up visit is not needed. Item #902 will be marked as corrected by consultant visit during the visit today. Item #1911: We discussed the incident report was not signed by the parent of the child immediately following the incident because the child’s parent does not typically pick up the child. You reached out via email requesting guidance on this on 4/24/26. We reviewed email communications following the incident on 4/22/26, and we determined that the incident report, signed or unsigned was not sent to me. The incident report was received during the visit today. To reach compliance with this item, provide a statement that indicates you will provide the incident report to me within seven (7) days following an incident in which a child seeks medical treatment. For example, you can state that you will send the initial unsigned incident report via email if there is a delay in obtaining the parent signature due to pick-up preferences. Then, you can send the signed report once the parent signature is obtained. Achieving Compliance for item #1911: 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 5/20/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed wearing infants in carriers at the facility. This practice is discouraged as it can prevent staff from adequately responding to an emergency with other children in their care. We discussed alternatives such as keeping children engaged in activities near the teacher, holding the child when fussy and reaching out to parents to discuss other calming strategies. You can reach out to our Child Care Health Consultants for additional guidance on this: 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 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0426-338L Visit Date: 5/6/2026 Number Present: 49 Completed Date: 5/6/2026 Age: From 0 To 5 Total Minutes: 150 Time In: 09:30 AM Time Out: 12:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit was to obtain information related to a self-report received by the Division. During today’s visit, Kathleen McDavid, Administrator, accompanied me during a walk-through of the facility. During the visit, I discussed the information with Kathleen McDavid and additional staff members. Limited monitoring of child care requirements was conducted today to include discipline. There is a concern that a child was handled roughly, resulting in a dislocated elbow (nursemaid’s elbow). On 4/22/26, a teacher pulled a child’s arm toward them to assist with putting on a jacket. This resulted in the elbow dislocation. I interviewed three (3) staff. I reviewed the video footage from the incident on 4/22/26. I observed classroom space B for the purposes of monitoring nurture/care. I observed all classroom spaces for the purposes of monitoring staff/child ratio, group size, supervision, nurture/care and discipline. Video footage from 4/22/26 was reviewed during the visit today. The time stamp on the video footage showed the incident occurred at approximately 9:18am. You stated the time on the footage is ahead approximately seven (7) minutes, placing the incident at approximately 9:11am. Based on the self-report, interviews and video footage, the concern regarding nurture/care is confirmed. The following violations were documented during today’s visit: Violation Number Comment Rule 902 Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs. On 4/22/26 at approximately 9:11am, a teacher in classroom space B assisted a two year old child with putting on their sweater. The teacher got up from a seated position, held the child’s hand, and sat back down while holding the child’s hand, pulling the child toward them. A nursemaid’s elbow injury occurred as a result. G.S. 110-91(10) 1911 An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required. The incident report for an incident that occurred on 4/22/26 was given to a Division representative on 5/6/26. .0802(f) Technical assistance was provided as follows: Item #902: We discussed the following has already been completed as a response to the incident: -The incident was self-reported by Ms. McDavid to me on 4/23/26, via telephone and email. -The teacher was retrained on the causes, symptoms and prevention of Nursemaid’s elbow by the Administrator on 4/23/26. The Administrator used the North Carolina Child Care Health and Safety Resource Center as a resource for retraining the staff. Signed documentation of the training was available for review during the visit today. -The teacher reviewed the facility’s discipline and proper handling policies on 4/23/26. Signed documentation of the review was available for review during the visit today. Due to the extensive corrective action you have already taken to respond to the incident, a follow-up visit is not needed. Item #902 will be marked as corrected by consultant visit during the visit today. Item #1911: We discussed the incident report was not signed by the parent of the child immediately following the incident because the child’s parent does not typically pick up the child. You reached out via email requesting guidance on this on 4/24/26. We reviewed email communications following the incident on 4/22/26, and we determined that the incident report, signed or unsigned was not sent to me. The incident report was received during the visit today. To reach compliance with this item, provide a statement that indicates you will provide the incident report to me within seven (7) days following an incident in which a child seeks medical treatment. For example, you can state that you will send the initial unsigned incident report via email if there is a delay in obtaining the parent signature due to pick-up preferences. Then, you can send the signed report once the parent signature is obtained. Achieving Compliance for item #1911: 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 5/20/26. Email the compliance letter on signed letterhead or it must be sent from the email address registered with the DCDEE (this serves as your signature) to: kaitlyn.marshall@dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: We discussed wearing infants in carriers at the facility. This practice is discouraged as it can prevent staff from adequately responding to an emergency with other children in their care. We discussed alternatives such as keeping children engaged in activities near the teacher, holding the child when fussy and reaching out to parents to discuss other calming strategies. You can reach out to our Child Care Health Consultants for additional guidance on this: 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 Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2904 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0426-136L Visit Date: 4/22/2026 Number Present: 48 Completed Date: 4/22/2026 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of violations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is eighty-six percent (86%) as of 4/21/26. The facility operates with a five-star license issued on 12/9/24. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced space, meets reduced ratios, certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 4/8/26 and sent to me on 4/9/26. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and age appropriate activities. Allegations within the report included the following: The Individualized Education Plans (IEP) for two (2) children were not followed between 10/17/25 and 12/31/25. I interviewed two (2) staff. I reviewed the IEP for the two (2) children. I observed the two (2) Developmental Day classrooms in spaces A and C. A walkthrough was conducted of all caregiving spaces for the purposes of monitoring staff/child ratio, supervision, group size, use of licensed space, space capacity, permit restrictions and license posted. A copy of the investigation conducted by the Department of Public Instruction was provided to me via email on 4/10/26. Based on the findings listed in the Complaint Investigation Final Report dated 2/27/26, the Local Education Agency (LEA) was found to be in violation of the Policies regarding Implementation of the Students’ IEPs between 10/17/25 and 12/31/25. Based on the interview, review of IEPs for two (2) children and review of the investigation conducted by the Department of Public Instruction, the allegation regarding age appropriate activities was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 1537 Children did not participate daily in activities outlined in a plan of care (IFSP, IEP, PCP) or for typically developing children, an activity plan developed by the center. The IEPs for two (2) four-year-old children stated that the children “will be offered instruction that is embedded into a preschool program where same age peers will be role models and increased staff will allow for repeated instruction, immediate feedback, and modifications as needed so that he can access the preschool environment at the same rate as his peers.” An authorized individual was expected to pick up two (2) children at 12:00pm, beginning 12/20/25, which prohibited the children from accessing the preschool program at the same rate as their peers. 10A NCAC 09 .2904 (a) Technical assistance was provided as follows: Item #1537: To reach compliance with this item, provide a statement that indicates how you will ensure IEPs are implemented according to the Policies listed in the regulations listed above. I recommend reaching out to your LEA contact for guidance on how to ensure compliance in the future. Achieving Compliance: 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 5/6/26. 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: Naptime: A walkthrough of caregiving spaces was conducted during naptime today. Safe environments were maintained and supervision was adequate during the walkthrough. We discussed the following: -Some children struggle with the transition to naptime but are still in need of rest, developmentally. We discussed allowing these children to continue to play quietly while staff help the other children in the room lie down for rest. These children may benefit from undivided attention from staff to help ease them into the naptime transition after the other children have already settled. We discussed strategies that were already in place such as self-regulation toys and giving verbal reminders about how much time is left until they will go to their cot. -Plan to check classrooms periodically to ensure sound machines are at an appropriate volume so that staff are able to hear children who may be coughing, choking or have difficulty breathing. Additionally, plan to ensure lighting is bright enough that you can see the features of a child’s face to check for color changes or grimacing. Volume and lighting were at appropriate levels during the walkthrough today. -If children place blankets over their faces as a self-soothing practice, staff should pull the blankets down away from their face after the child falls asleep. As a reminder, staff cannot place blankets over the face of a child at rest time. -We discussed staff can wait to clean up the lunch mess until all children are settled. It may be helpful to have all staff in the room focus on helping children settle first before turning to other duties such as cleaning tables or sweeping. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0426-136L Visit Date: 4/22/2026 Number Present: 48 Completed Date: 4/22/2026 Age: From 0 To 5 Total Minutes: 210 Time In: 10:30 AM Time Out: 02:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of violations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is eighty-six percent (86%) as of 4/21/26. The facility operates with a five-star license issued on 12/9/24. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced space, meets reduced ratios, certified Developmental Day. The complaint was received by the Division of Child Development and Early Education on 4/8/26 and sent to me on 4/9/26. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and age appropriate activities. Allegations within the report included the following: The Individualized Education Plans (IEP) for two (2) children were not followed between 10/17/25 and 12/31/25. I interviewed two (2) staff. I reviewed the IEP for the two (2) children. I observed the two (2) Developmental Day classrooms in spaces A and C. A walkthrough was conducted of all caregiving spaces for the purposes of monitoring staff/child ratio, supervision, group size, use of licensed space, space capacity, permit restrictions and license posted. A copy of the investigation conducted by the Department of Public Instruction was provided to me via email on 4/10/26. Based on the findings listed in the Complaint Investigation Final Report dated 2/27/26, the Local Education Agency (LEA) was found to be in violation of the Policies regarding Implementation of the Students’ IEPs between 10/17/25 and 12/31/25. Based on the interview, review of IEPs for two (2) children and review of the investigation conducted by the Department of Public Instruction, the allegation regarding age appropriate activities was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 1537 Children did not participate daily in activities outlined in a plan of care (IFSP, IEP, PCP) or for typically developing children, an activity plan developed by the center. The IEPs for two (2) four-year-old children stated that the children “will be offered instruction that is embedded into a preschool program where same age peers will be role models and increased staff will allow for repeated instruction, immediate feedback, and modifications as needed so that he can access the preschool environment at the same rate as his peers.” An authorized individual was expected to pick up two (2) children at 12:00pm, beginning 12/20/25, which prohibited the children from accessing the preschool program at the same rate as their peers. 10A NCAC 09 .2904 (a) Technical assistance was provided as follows: Item #1537: To reach compliance with this item, provide a statement that indicates how you will ensure IEPs are implemented according to the Policies listed in the regulations listed above. I recommend reaching out to your LEA contact for guidance on how to ensure compliance in the future. Achieving Compliance: 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 5/6/26. 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: Naptime: A walkthrough of caregiving spaces was conducted during naptime today. Safe environments were maintained and supervision was adequate during the walkthrough. We discussed the following: -Some children struggle with the transition to naptime but are still in need of rest, developmentally. We discussed allowing these children to continue to play quietly while staff help the other children in the room lie down for rest. These children may benefit from undivided attention from staff to help ease them into the naptime transition after the other children have already settled. We discussed strategies that were already in place such as self-regulation toys and giving verbal reminders about how much time is left until they will go to their cot. -Plan to check classrooms periodically to ensure sound machines are at an appropriate volume so that staff are able to hear children who may be coughing, choking or have difficulty breathing. Additionally, plan to ensure lighting is bright enough that you can see the features of a child’s face to check for color changes or grimacing. Volume and lighting were at appropriate levels during the walkthrough today. -If children place blankets over their faces as a self-soothing practice, staff should pull the blankets down away from their face after the child falls asleep. As a reminder, staff cannot place blankets over the face of a child at rest time. -We discussed staff can wait to clean up the lunch mess until all children are settled. It may be helpful to have all staff in the room focus on helping children settle first before turning to other duties such as cleaning tables or sweeping. Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0326-466L Visit Date: 4/7/2026 Number Present: 40 Completed Date: 4/7/2026 Age: From 0 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of violations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid, Jennifer Gerringer, Children’s Services Coordinator, and Michelle Buckner, Lead Teacher, assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history is eighty-seven percent (87%) as of 4/6/2026. The facility operates with a five-star license issued on 12/9/24. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. The facility serves children with special needs. The complaint was received by the Division of Child Development and Early Education on 3/30/26 and sent to me on 3/31/26. In addition to addressing the allegations, staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, and medication administration. One (1) child’s file was monitored for the Medical Action Plan and Medication Administration permission. Allegations within the report included the following: Medication was not administered according to the instructions given in the child’s medical action plan. On 3/30/26 at approximately 9:06am, a one-year-old child was administered two (2) puffs of a rescue inhaler due to symptoms of an asthma attack. The Medical Action Plan state to administer four (4) puffs of the rescue inhaler medication when the child exhibits symptoms in the “yellow zone”. Additionally, I received a self-report from the provider on 4/1/26 stating the child was administered four (4) puffs of rescue inhaler medication at 9:50am on 3/30/26 and four (4) more puffs of rescue inhaler medication at 11:45am. The medical action plan states to repeat the dosage every four (4) hours when the child is in the “yellow” zone. I interviewed three (3) staff. Video footage was not reviewed during the visit today. I conducted a walkthrough of all caregiving spaces for the purpose of monitoring staff/child ratio, group size, supervision, use of licensed space, space capacity, permit restrictions, license posted, in accordance with procedures. I reviewed the child’s Medical Action Plan, Medication Administration Permission forms, and communication between the parent and the teacher on the communication app, Kaymbu. Based on the interview and documentation reviewed the allegation regarding medication administration was substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 1878 A drug or medicine was administered in a manner not authorized by the child's parent, physician or other authorized health professional. On 3/30/26 at approximately 9:50am a one-year-old child received four (4) puffs of albuterol when the child exhibited symptoms listed on the medical action plan that indicated the child was in the “yellow” zone. The child received an additional four (4) puffs at 11:45am. The medical action plan states to administer four (4) puffs of albuterol every four (4) hours when the child is in the “yellow” zone. .0803(1)(c ) 1883 When medication was administered in error, the child care center did not either call 911 in accordance with CPR or First Aid training recommendations, notify the center director, contact the child's parent, observe the child, or include all the information when documenting the error in writing. A medication error report was not signed by the Administrator, the staff member who administered the medication nor parent of the child involved in the incident when medication was administered incorrectly on 3/30/26. .0803(14)(a-e)(i-vii) Technical assistance was provided as follows: Item #1878: Medication must be in accordance with the instructions provided by the parent. We discussed that you met with the parent of the child on 4/1/26 to discuss the medication needs of the child. The parent completed a new medical action plan on 4/2/26 but decided to consult with the physician to determine if changes are needed to the dosage and/or frequency. When you receive the new medical action plan, plan to review with the staff in classroom space F. You stated you have a training scheduled for today at 3:00pm with Robin Worley, Child Care Health Consultant, to review asthma action plans. You stated all teachers who have children with asthma will participate in the training. To reach compliance with this item, provide a statement that indicates how you will ensure medication is administered according to parent and/or physician instructions. In your letter of compliance, plan to include all of the corrective actions you have taken including: -additional staff trainings with Child Care Health consultants -meetings with parents of the child involved in the incident -receipt of the updated medical action plan from the parent of the child involved in the incident Item #1883: A medication error report was not signed by the Administrator, the staff member who administered the medication nor parent of the child involved in the incident when medication was administered incorrectly on 3/30/26. The medication error was documented on the Medication Log and was signed by Ms. Gerringer. However, the error documentation was not signed by the Administrator, staff who administered the medication incorrectly nor the parent of the child involved in the incident. A Medication Error Report is attached to email containing this visit summary and is also available on the Division’s website under Provider tab> Provider Documents and Forms. To reach compliance with this item, complete the Medication Error Report and have the staff member who administered the medication, Administrator of the facility and the parent of the child involved in the incident sign the form. Additionally, I recommend reviewing rule .0803(14) with all staff which states requirements for medication administration errors. Regarding .0803(14)(a), refer to your CPR/First Aid training or contact our Child Care Health Consultants to clarify what errors would require calling 911: 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 Achieving Compliance: 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 4/21/26. 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: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well-being of young children. At the completion of the visit, this visit summary was printed, reviewed, and a copy was left with 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0126-026L Visit Date: 1/14/2026 Number Present: 47 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of violations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 1/12/26. The facility operates with a five-star license issued on 12/9/24. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. The self-report was received by the Division of Child Development and Early Education on 1/6/26 and sent to me on 1/6/26. There is a concern of inadequate supervision. According to the self-reported concerns, on 1/5/26 at approximately 10:16am, a two year old child was left alone on the playground for one and two year old children for approximately two (2) minutes and forty-one (41) seconds. I interviewed three (3) staff. The information in the self-report was confirmed in the interviews. Upon checking the child's file, we confirmed the child is one year old. The one year old child ran from the group as they were crossing the threshold to enter the classroom, and hid behind a storage cabinet near the door. The staff member leading the children in did not conduct a name to face check or headcount. Today, staff stated name to face counts are typically conducted upon threshold crossings and every fifteen (15) minutes. Name to face checks are documented on the Kaymbu app on tablets. Video footage of the incident was not reviewed today. I observed classroom space F. There were seven (7) children present with two (2) caregivers. I observed the children transition to the outdoor learning environment. The teacher conducted a head count and name to face count upon entering the outdoor space and fifteen (15) minutes later. Children were adequately supervised during the visit today. Based on the interviews, the violation of supervision requirements was confirmed. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 1/5/26 at approximately 10:16am, a one year old child was left alone on the playground for one and two year old children for approximately two (2) minutes and forty-one (41) seconds. .1801(a)(1-5) Technical assistance was provided as follows: Item #303: We discussed the current head count and name to face count strategies that are implemented at the facility. The head count, name to face check and supervision policies were reviewed with the staff member involved in the incident. You stated documentation is maintained in the staff member’s Human Resources personnel file. The on-demand training “Transitions: Creating Smooth Moves” can be found on the website for Southwestern Child Development Commission at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-d6c04284d46c4829b4bf3db7a7d38683 I recommend sharing this training with staff who are interested in learning more about transitions or who may have children who struggle with transitions. We discussed moving or removing the cabinet on the playground. This will prevent other children from using it as a hiding spot during future transitions. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). 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 1/28/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 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: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0126-026L Visit Date: 1/14/2026 Number Present: 47 Completed Date: 1/14/2026 Age: From 0 To 5 Total Minutes: 120 Time In: 09:30 AM Time Out: 11:30 AM Time In: Time Out: List to Use: Center Type Of Visit: Self Report Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of violations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 1/12/26. The facility operates with a five-star license issued on 12/9/24. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. The self-report was received by the Division of Child Development and Early Education on 1/6/26 and sent to me on 1/6/26. There is a concern of inadequate supervision. According to the self-reported concerns, on 1/5/26 at approximately 10:16am, a two year old child was left alone on the playground for one and two year old children for approximately two (2) minutes and forty-one (41) seconds. I interviewed three (3) staff. The information in the self-report was confirmed in the interviews. Upon checking the child's file, we confirmed the child is one year old. The one year old child ran from the group as they were crossing the threshold to enter the classroom, and hid behind a storage cabinet near the door. The staff member leading the children in did not conduct a name to face check or headcount. Today, staff stated name to face counts are typically conducted upon threshold crossings and every fifteen (15) minutes. Name to face checks are documented on the Kaymbu app on tablets. Video footage of the incident was not reviewed today. I observed classroom space F. There were seven (7) children present with two (2) caregivers. I observed the children transition to the outdoor learning environment. The teacher conducted a head count and name to face count upon entering the outdoor space and fifteen (15) minutes later. Children were adequately supervised during the visit today. Based on the interviews, the violation of supervision requirements was confirmed. The following violations were documented during today’s visit: Violation Number Comment Rule 303 Children were not adequately supervised at all times. On 1/5/26 at approximately 10:16am, a one year old child was left alone on the playground for one and two year old children for approximately two (2) minutes and forty-one (41) seconds. .1801(a)(1-5) Technical assistance was provided as follows: Item #303: We discussed the current head count and name to face count strategies that are implemented at the facility. The head count, name to face check and supervision policies were reviewed with the staff member involved in the incident. You stated documentation is maintained in the staff member’s Human Resources personnel file. The on-demand training “Transitions: Creating Smooth Moves” can be found on the website for Southwestern Child Development Commission at https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-d6c04284d46c4829b4bf3db7a7d38683 I recommend sharing this training with staff who are interested in learning more about transitions or who may have children who struggle with transitions. We discussed moving or removing the cabinet on the playground. This will prevent other children from using it as a hiding spot during future transitions. Achieving Compliance: The facility received a violation regarding supervision today. A follow-up visit will be conducted in the near future to determine if staff are adequately supervising children per Child Care Rule 10A NCAC 09 .1801(a)(1-5). 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 1/28/26. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 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: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .0304 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 50 Completed Date: 11/20/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 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 Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 11/19/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 11/19/25. Permit type – Five (5) star license issued 12/9/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, certified Developmental Day. The facility is approved to provide NC Pre-K. The facility serves children with special needs and is a contract provider with Buncombe County and Asheville City for IEP services. The last annual compliance visit was conducted on 12/3/24. The last fire drill was practiced on 10/30/25. The last lockdown drill was practiced on 9/30/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 9/2/25. The last sanitation inspection was conducted on 10/28/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/18/25 without hazards. Lead paint was completed on 9/7/24. Asbestos testing was completed on 2/28/24. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. Upon arrival I was greeted by Ms. McDavid. Ms. McDavid accompanied me on a walkthrough of indoor and outdoor caregiving spaces. In classroom space A, children built small structures with magnatiles, completed an alphabet matching activity, rolled toy cars on various surfaces, and pretended to build with a toy tool set. In classroom space C, children participated in a teacher-led art collage projects, rolled trains on a train track and participated in routine caregiving activities such as toileting. In classroom space D, children explored mouthable toys and participated in routine caregiving activities such as sleeping and feeding. In classroom space E, children participated in a free draw art activity using crayons, made animal sounds with a caregiver and prepared to go outside. In classroom space H, children pretended to cook and serve food, painted pictures and participated in routine caregiving activities such as diapering. In classroom space F, children read books with caregivers, pretended to talk on the phone, and participated in routine caregiving activities such as diapering 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 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two (2) children's files did not contain an acknowledgement that the parent received a copy of the summary of the law. GS 110-102 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. .0605(l)(1-2) 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. The medical report for one (1) staff, hire date 7/1/25, was dated 7/2/25. 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. The TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/3/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One (1) child's file did not contain an acknowledgement that the parents received the parent handbook. 10A NCAC 09 .0514(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #114 and #1203: We discussed the parent policy signature form currently in use requires parents to check off on the forms that they have received before signing. You stated parents receive a copy of the Summary of the Law and the Parent Handbook at orientation. To reach compliance with this item, have the parents of the two (2) children check the boxes on the policies they have received. If needed, plan to provide an additional copy. I recommend updating the policy form so that the language states the parent has received the policies instead of requiring parents to check off on each form. Item #717: One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. The fall zone must extend six (6) feet beyond the external limits of the equipment according to rule. If the manufacturer’s instructions state otherwise, you would follow the most restrictive distance. To reach compliance with this item, the equipment must be moved so that there is a six (6) foot fall zone all around the structure. If you are unable to have the equipment moved by the due date listed below, you may request an extension. In your extension, please include the following: -the new date that you anticipate compliance will be reached -the reason the extension is needed -temporary compliance solutions (for example, place a barrier such as construction netting around the structure so that children cannot use the equipment until it is moved) Item #1032 and #1033: The medical report/TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/2/25 7/3/25. According to rule .0701(a), the medical report must be on file prior to employment. The TB test/screening must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure the medical report and TB test are received according to the requirements in rule. Item #1048 and #1049: The CPR/First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. You stated the CPR/First Aid training is scheduled for 11/26/25. In your letter of compliance, please include a statement that indicates the training has been completed. Documentation of the training is required to be on file. If the certificate is not available immediately, please plan to have the training provide a statement or a copy of the roster, indicating the staff member has taken the required training. Item #1882: The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. To reach compliance with this item, plan to have the parents of the two (2) children date the medication administration permission forms. Moving forward, plan to screen all medication forms to ensure they are completely filled out. 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 12/4/25. 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: NC Pre-K: The facility no longer provides NC Pre-K services. This was verified on the NC Pre-K plan website. The changes will be made to our Regulatory system following this visit. 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. We discussed a possible shift in ages for each classroom. Please provide a request at least thirty (30) days prior to that change. Please note a visit from building, fire, sanitation and licensing may be needed. The approved floor plan on file was shared with you today for planning purposes. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 50 Completed Date: 11/20/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 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 Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 11/19/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 11/19/25. Permit type – Five (5) star license issued 12/9/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, certified Developmental Day. The facility is approved to provide NC Pre-K. The facility serves children with special needs and is a contract provider with Buncombe County and Asheville City for IEP services. The last annual compliance visit was conducted on 12/3/24. The last fire drill was practiced on 10/30/25. The last lockdown drill was practiced on 9/30/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 9/2/25. The last sanitation inspection was conducted on 10/28/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/18/25 without hazards. Lead paint was completed on 9/7/24. Asbestos testing was completed on 2/28/24. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. Upon arrival I was greeted by Ms. McDavid. Ms. McDavid accompanied me on a walkthrough of indoor and outdoor caregiving spaces. In classroom space A, children built small structures with magnatiles, completed an alphabet matching activity, rolled toy cars on various surfaces, and pretended to build with a toy tool set. In classroom space C, children participated in a teacher-led art collage projects, rolled trains on a train track and participated in routine caregiving activities such as toileting. In classroom space D, children explored mouthable toys and participated in routine caregiving activities such as sleeping and feeding. In classroom space E, children participated in a free draw art activity using crayons, made animal sounds with a caregiver and prepared to go outside. In classroom space H, children pretended to cook and serve food, painted pictures and participated in routine caregiving activities such as diapering. In classroom space F, children read books with caregivers, pretended to talk on the phone, and participated in routine caregiving activities such as diapering 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 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two (2) children's files did not contain an acknowledgement that the parent received a copy of the summary of the law. GS 110-102 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. .0605(l)(1-2) 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. The medical report for one (1) staff, hire date 7/1/25, was dated 7/2/25. 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. The TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/3/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One (1) child's file did not contain an acknowledgement that the parents received the parent handbook. 10A NCAC 09 .0514(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #114 and #1203: We discussed the parent policy signature form currently in use requires parents to check off on the forms that they have received before signing. You stated parents receive a copy of the Summary of the Law and the Parent Handbook at orientation. To reach compliance with this item, have the parents of the two (2) children check the boxes on the policies they have received. If needed, plan to provide an additional copy. I recommend updating the policy form so that the language states the parent has received the policies instead of requiring parents to check off on each form. Item #717: One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. The fall zone must extend six (6) feet beyond the external limits of the equipment according to rule. If the manufacturer’s instructions state otherwise, you would follow the most restrictive distance. To reach compliance with this item, the equipment must be moved so that there is a six (6) foot fall zone all around the structure. If you are unable to have the equipment moved by the due date listed below, you may request an extension. In your extension, please include the following: -the new date that you anticipate compliance will be reached -the reason the extension is needed -temporary compliance solutions (for example, place a barrier such as construction netting around the structure so that children cannot use the equipment until it is moved) Item #1032 and #1033: The medical report/TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/2/25 7/3/25. According to rule .0701(a), the medical report must be on file prior to employment. The TB test/screening must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure the medical report and TB test are received according to the requirements in rule. Item #1048 and #1049: The CPR/First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. You stated the CPR/First Aid training is scheduled for 11/26/25. In your letter of compliance, please include a statement that indicates the training has been completed. Documentation of the training is required to be on file. If the certificate is not available immediately, please plan to have the training provide a statement or a copy of the roster, indicating the staff member has taken the required training. Item #1882: The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. To reach compliance with this item, plan to have the parents of the two (2) children date the medication administration permission forms. Moving forward, plan to screen all medication forms to ensure they are completely filled out. 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 12/4/25. 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: NC Pre-K: The facility no longer provides NC Pre-K services. This was verified on the NC Pre-K plan website. The changes will be made to our Regulatory system following this visit. 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. We discussed a possible shift in ages for each classroom. Please provide a request at least thirty (30) days prior to that change. Please note a visit from building, fire, sanitation and licensing may be needed. The approved floor plan on file was shared with you today for planning purposes. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 .0701 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 50 Completed Date: 11/20/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 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 Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 11/19/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 11/19/25. Permit type – Five (5) star license issued 12/9/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, certified Developmental Day. The facility is approved to provide NC Pre-K. The facility serves children with special needs and is a contract provider with Buncombe County and Asheville City for IEP services. The last annual compliance visit was conducted on 12/3/24. The last fire drill was practiced on 10/30/25. The last lockdown drill was practiced on 9/30/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 9/2/25. The last sanitation inspection was conducted on 10/28/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/18/25 without hazards. Lead paint was completed on 9/7/24. Asbestos testing was completed on 2/28/24. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. Upon arrival I was greeted by Ms. McDavid. Ms. McDavid accompanied me on a walkthrough of indoor and outdoor caregiving spaces. In classroom space A, children built small structures with magnatiles, completed an alphabet matching activity, rolled toy cars on various surfaces, and pretended to build with a toy tool set. In classroom space C, children participated in a teacher-led art collage projects, rolled trains on a train track and participated in routine caregiving activities such as toileting. In classroom space D, children explored mouthable toys and participated in routine caregiving activities such as sleeping and feeding. In classroom space E, children participated in a free draw art activity using crayons, made animal sounds with a caregiver and prepared to go outside. In classroom space H, children pretended to cook and serve food, painted pictures and participated in routine caregiving activities such as diapering. In classroom space F, children read books with caregivers, pretended to talk on the phone, and participated in routine caregiving activities such as diapering 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 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two (2) children's files did not contain an acknowledgement that the parent received a copy of the summary of the law. GS 110-102 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. .0605(l)(1-2) 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. The medical report for one (1) staff, hire date 7/1/25, was dated 7/2/25. 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. The TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/3/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One (1) child's file did not contain an acknowledgement that the parents received the parent handbook. 10A NCAC 09 .0514(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #114 and #1203: We discussed the parent policy signature form currently in use requires parents to check off on the forms that they have received before signing. You stated parents receive a copy of the Summary of the Law and the Parent Handbook at orientation. To reach compliance with this item, have the parents of the two (2) children check the boxes on the policies they have received. If needed, plan to provide an additional copy. I recommend updating the policy form so that the language states the parent has received the policies instead of requiring parents to check off on each form. Item #717: One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. The fall zone must extend six (6) feet beyond the external limits of the equipment according to rule. If the manufacturer’s instructions state otherwise, you would follow the most restrictive distance. To reach compliance with this item, the equipment must be moved so that there is a six (6) foot fall zone all around the structure. If you are unable to have the equipment moved by the due date listed below, you may request an extension. In your extension, please include the following: -the new date that you anticipate compliance will be reached -the reason the extension is needed -temporary compliance solutions (for example, place a barrier such as construction netting around the structure so that children cannot use the equipment until it is moved) Item #1032 and #1033: The medical report/TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/2/25 7/3/25. According to rule .0701(a), the medical report must be on file prior to employment. The TB test/screening must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure the medical report and TB test are received according to the requirements in rule. Item #1048 and #1049: The CPR/First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. You stated the CPR/First Aid training is scheduled for 11/26/25. In your letter of compliance, please include a statement that indicates the training has been completed. Documentation of the training is required to be on file. If the certificate is not available immediately, please plan to have the training provide a statement or a copy of the roster, indicating the staff member has taken the required training. Item #1882: The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. To reach compliance with this item, plan to have the parents of the two (2) children date the medication administration permission forms. Moving forward, plan to screen all medication forms to ensure they are completely filled out. 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 12/4/25. 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: NC Pre-K: The facility no longer provides NC Pre-K services. This was verified on the NC Pre-K plan website. The changes will be made to our Regulatory system following this visit. 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. We discussed a possible shift in ages for each classroom. Please provide a request at least thirty (30) days prior to that change. Please note a visit from building, fire, sanitation and licensing may be needed. The approved floor plan on file was shared with you today for planning purposes. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 50 Completed Date: 11/20/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 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 Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 11/19/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 11/19/25. Permit type – Five (5) star license issued 12/9/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, certified Developmental Day. The facility is approved to provide NC Pre-K. The facility serves children with special needs and is a contract provider with Buncombe County and Asheville City for IEP services. The last annual compliance visit was conducted on 12/3/24. The last fire drill was practiced on 10/30/25. The last lockdown drill was practiced on 9/30/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 9/2/25. The last sanitation inspection was conducted on 10/28/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/18/25 without hazards. Lead paint was completed on 9/7/24. Asbestos testing was completed on 2/28/24. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. Upon arrival I was greeted by Ms. McDavid. Ms. McDavid accompanied me on a walkthrough of indoor and outdoor caregiving spaces. In classroom space A, children built small structures with magnatiles, completed an alphabet matching activity, rolled toy cars on various surfaces, and pretended to build with a toy tool set. In classroom space C, children participated in a teacher-led art collage projects, rolled trains on a train track and participated in routine caregiving activities such as toileting. In classroom space D, children explored mouthable toys and participated in routine caregiving activities such as sleeping and feeding. In classroom space E, children participated in a free draw art activity using crayons, made animal sounds with a caregiver and prepared to go outside. In classroom space H, children pretended to cook and serve food, painted pictures and participated in routine caregiving activities such as diapering. In classroom space F, children read books with caregivers, pretended to talk on the phone, and participated in routine caregiving activities such as diapering 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 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two (2) children's files did not contain an acknowledgement that the parent received a copy of the summary of the law. GS 110-102 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. .0605(l)(1-2) 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. The medical report for one (1) staff, hire date 7/1/25, was dated 7/2/25. 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. The TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/3/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One (1) child's file did not contain an acknowledgement that the parents received the parent handbook. 10A NCAC 09 .0514(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #114 and #1203: We discussed the parent policy signature form currently in use requires parents to check off on the forms that they have received before signing. You stated parents receive a copy of the Summary of the Law and the Parent Handbook at orientation. To reach compliance with this item, have the parents of the two (2) children check the boxes on the policies they have received. If needed, plan to provide an additional copy. I recommend updating the policy form so that the language states the parent has received the policies instead of requiring parents to check off on each form. Item #717: One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. The fall zone must extend six (6) feet beyond the external limits of the equipment according to rule. If the manufacturer’s instructions state otherwise, you would follow the most restrictive distance. To reach compliance with this item, the equipment must be moved so that there is a six (6) foot fall zone all around the structure. If you are unable to have the equipment moved by the due date listed below, you may request an extension. In your extension, please include the following: -the new date that you anticipate compliance will be reached -the reason the extension is needed -temporary compliance solutions (for example, place a barrier such as construction netting around the structure so that children cannot use the equipment until it is moved) Item #1032 and #1033: The medical report/TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/2/25 7/3/25. According to rule .0701(a), the medical report must be on file prior to employment. The TB test/screening must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure the medical report and TB test are received according to the requirements in rule. Item #1048 and #1049: The CPR/First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. You stated the CPR/First Aid training is scheduled for 11/26/25. In your letter of compliance, please include a statement that indicates the training has been completed. Documentation of the training is required to be on file. If the certificate is not available immediately, please plan to have the training provide a statement or a copy of the roster, indicating the staff member has taken the required training. Item #1882: The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. To reach compliance with this item, plan to have the parents of the two (2) children date the medication administration permission forms. Moving forward, plan to screen all medication forms to ensure they are completely filled out. 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 12/4/25. 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: NC Pre-K: The facility no longer provides NC Pre-K services. This was verified on the NC Pre-K plan website. The changes will be made to our Regulatory system following this visit. 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. We discussed a possible shift in ages for each classroom. Please provide a request at least thirty (30) days prior to that change. Please note a visit from building, fire, sanitation and licensing may be needed. The approved floor plan on file was shared with you today for planning purposes. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 50 Completed Date: 11/20/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 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 Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 11/19/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 11/19/25. Permit type – Five (5) star license issued 12/9/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, certified Developmental Day. The facility is approved to provide NC Pre-K. The facility serves children with special needs and is a contract provider with Buncombe County and Asheville City for IEP services. The last annual compliance visit was conducted on 12/3/24. The last fire drill was practiced on 10/30/25. The last lockdown drill was practiced on 9/30/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 9/2/25. The last sanitation inspection was conducted on 10/28/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/18/25 without hazards. Lead paint was completed on 9/7/24. Asbestos testing was completed on 2/28/24. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. Upon arrival I was greeted by Ms. McDavid. Ms. McDavid accompanied me on a walkthrough of indoor and outdoor caregiving spaces. In classroom space A, children built small structures with magnatiles, completed an alphabet matching activity, rolled toy cars on various surfaces, and pretended to build with a toy tool set. In classroom space C, children participated in a teacher-led art collage projects, rolled trains on a train track and participated in routine caregiving activities such as toileting. In classroom space D, children explored mouthable toys and participated in routine caregiving activities such as sleeping and feeding. In classroom space E, children participated in a free draw art activity using crayons, made animal sounds with a caregiver and prepared to go outside. In classroom space H, children pretended to cook and serve food, painted pictures and participated in routine caregiving activities such as diapering. In classroom space F, children read books with caregivers, pretended to talk on the phone, and participated in routine caregiving activities such as diapering 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 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two (2) children's files did not contain an acknowledgement that the parent received a copy of the summary of the law. GS 110-102 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. .0605(l)(1-2) 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. The medical report for one (1) staff, hire date 7/1/25, was dated 7/2/25. 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. The TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/3/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One (1) child's file did not contain an acknowledgement that the parents received the parent handbook. 10A NCAC 09 .0514(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #114 and #1203: We discussed the parent policy signature form currently in use requires parents to check off on the forms that they have received before signing. You stated parents receive a copy of the Summary of the Law and the Parent Handbook at orientation. To reach compliance with this item, have the parents of the two (2) children check the boxes on the policies they have received. If needed, plan to provide an additional copy. I recommend updating the policy form so that the language states the parent has received the policies instead of requiring parents to check off on each form. Item #717: One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. The fall zone must extend six (6) feet beyond the external limits of the equipment according to rule. If the manufacturer’s instructions state otherwise, you would follow the most restrictive distance. To reach compliance with this item, the equipment must be moved so that there is a six (6) foot fall zone all around the structure. If you are unable to have the equipment moved by the due date listed below, you may request an extension. In your extension, please include the following: -the new date that you anticipate compliance will be reached -the reason the extension is needed -temporary compliance solutions (for example, place a barrier such as construction netting around the structure so that children cannot use the equipment until it is moved) Item #1032 and #1033: The medical report/TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/2/25 7/3/25. According to rule .0701(a), the medical report must be on file prior to employment. The TB test/screening must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure the medical report and TB test are received according to the requirements in rule. Item #1048 and #1049: The CPR/First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. You stated the CPR/First Aid training is scheduled for 11/26/25. In your letter of compliance, please include a statement that indicates the training has been completed. Documentation of the training is required to be on file. If the certificate is not available immediately, please plan to have the training provide a statement or a copy of the roster, indicating the staff member has taken the required training. Item #1882: The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. To reach compliance with this item, plan to have the parents of the two (2) children date the medication administration permission forms. Moving forward, plan to screen all medication forms to ensure they are completely filled out. 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 12/4/25. 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: NC Pre-K: The facility no longer provides NC Pre-K services. This was verified on the NC Pre-K plan website. The changes will be made to our Regulatory system following this visit. 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. We discussed a possible shift in ages for each classroom. Please provide a request at least thirty (30) days prior to that change. Please note a visit from building, fire, sanitation and licensing may be needed. The approved floor plan on file was shared with you today for planning purposes. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 .2830 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 50 Completed Date: 11/20/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 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 Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 11/19/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 11/19/25. Permit type – Five (5) star license issued 12/9/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, certified Developmental Day. The facility is approved to provide NC Pre-K. The facility serves children with special needs and is a contract provider with Buncombe County and Asheville City for IEP services. The last annual compliance visit was conducted on 12/3/24. The last fire drill was practiced on 10/30/25. The last lockdown drill was practiced on 9/30/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 9/2/25. The last sanitation inspection was conducted on 10/28/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/18/25 without hazards. Lead paint was completed on 9/7/24. Asbestos testing was completed on 2/28/24. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. Upon arrival I was greeted by Ms. McDavid. Ms. McDavid accompanied me on a walkthrough of indoor and outdoor caregiving spaces. In classroom space A, children built small structures with magnatiles, completed an alphabet matching activity, rolled toy cars on various surfaces, and pretended to build with a toy tool set. In classroom space C, children participated in a teacher-led art collage projects, rolled trains on a train track and participated in routine caregiving activities such as toileting. In classroom space D, children explored mouthable toys and participated in routine caregiving activities such as sleeping and feeding. In classroom space E, children participated in a free draw art activity using crayons, made animal sounds with a caregiver and prepared to go outside. In classroom space H, children pretended to cook and serve food, painted pictures and participated in routine caregiving activities such as diapering. In classroom space F, children read books with caregivers, pretended to talk on the phone, and participated in routine caregiving activities such as diapering 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 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two (2) children's files did not contain an acknowledgement that the parent received a copy of the summary of the law. GS 110-102 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. .0605(l)(1-2) 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. The medical report for one (1) staff, hire date 7/1/25, was dated 7/2/25. 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. The TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/3/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One (1) child's file did not contain an acknowledgement that the parents received the parent handbook. 10A NCAC 09 .0514(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #114 and #1203: We discussed the parent policy signature form currently in use requires parents to check off on the forms that they have received before signing. You stated parents receive a copy of the Summary of the Law and the Parent Handbook at orientation. To reach compliance with this item, have the parents of the two (2) children check the boxes on the policies they have received. If needed, plan to provide an additional copy. I recommend updating the policy form so that the language states the parent has received the policies instead of requiring parents to check off on each form. Item #717: One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. The fall zone must extend six (6) feet beyond the external limits of the equipment according to rule. If the manufacturer’s instructions state otherwise, you would follow the most restrictive distance. To reach compliance with this item, the equipment must be moved so that there is a six (6) foot fall zone all around the structure. If you are unable to have the equipment moved by the due date listed below, you may request an extension. In your extension, please include the following: -the new date that you anticipate compliance will be reached -the reason the extension is needed -temporary compliance solutions (for example, place a barrier such as construction netting around the structure so that children cannot use the equipment until it is moved) Item #1032 and #1033: The medical report/TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/2/25 7/3/25. According to rule .0701(a), the medical report must be on file prior to employment. The TB test/screening must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure the medical report and TB test are received according to the requirements in rule. Item #1048 and #1049: The CPR/First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. You stated the CPR/First Aid training is scheduled for 11/26/25. In your letter of compliance, please include a statement that indicates the training has been completed. Documentation of the training is required to be on file. If the certificate is not available immediately, please plan to have the training provide a statement or a copy of the roster, indicating the staff member has taken the required training. Item #1882: The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. To reach compliance with this item, plan to have the parents of the two (2) children date the medication administration permission forms. Moving forward, plan to screen all medication forms to ensure they are completely filled out. 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 12/4/25. 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: NC Pre-K: The facility no longer provides NC Pre-K services. This was verified on the NC Pre-K plan website. The changes will be made to our Regulatory system following this visit. 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. We discussed a possible shift in ages for each classroom. Please provide a request at least thirty (30) days prior to that change. Please note a visit from building, fire, sanitation and licensing may be needed. The approved floor plan on file was shared with you today for planning purposes. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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

GS 110-102 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 50 Completed Date: 11/20/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 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 Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 11/19/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 11/19/25. Permit type – Five (5) star license issued 12/9/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, certified Developmental Day. The facility is approved to provide NC Pre-K. The facility serves children with special needs and is a contract provider with Buncombe County and Asheville City for IEP services. The last annual compliance visit was conducted on 12/3/24. The last fire drill was practiced on 10/30/25. The last lockdown drill was practiced on 9/30/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 9/2/25. The last sanitation inspection was conducted on 10/28/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/18/25 without hazards. Lead paint was completed on 9/7/24. Asbestos testing was completed on 2/28/24. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. Upon arrival I was greeted by Ms. McDavid. Ms. McDavid accompanied me on a walkthrough of indoor and outdoor caregiving spaces. In classroom space A, children built small structures with magnatiles, completed an alphabet matching activity, rolled toy cars on various surfaces, and pretended to build with a toy tool set. In classroom space C, children participated in a teacher-led art collage projects, rolled trains on a train track and participated in routine caregiving activities such as toileting. In classroom space D, children explored mouthable toys and participated in routine caregiving activities such as sleeping and feeding. In classroom space E, children participated in a free draw art activity using crayons, made animal sounds with a caregiver and prepared to go outside. In classroom space H, children pretended to cook and serve food, painted pictures and participated in routine caregiving activities such as diapering. In classroom space F, children read books with caregivers, pretended to talk on the phone, and participated in routine caregiving activities such as diapering 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 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two (2) children's files did not contain an acknowledgement that the parent received a copy of the summary of the law. GS 110-102 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. .0605(l)(1-2) 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. The medical report for one (1) staff, hire date 7/1/25, was dated 7/2/25. 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. The TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/3/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One (1) child's file did not contain an acknowledgement that the parents received the parent handbook. 10A NCAC 09 .0514(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #114 and #1203: We discussed the parent policy signature form currently in use requires parents to check off on the forms that they have received before signing. You stated parents receive a copy of the Summary of the Law and the Parent Handbook at orientation. To reach compliance with this item, have the parents of the two (2) children check the boxes on the policies they have received. If needed, plan to provide an additional copy. I recommend updating the policy form so that the language states the parent has received the policies instead of requiring parents to check off on each form. Item #717: One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. The fall zone must extend six (6) feet beyond the external limits of the equipment according to rule. If the manufacturer’s instructions state otherwise, you would follow the most restrictive distance. To reach compliance with this item, the equipment must be moved so that there is a six (6) foot fall zone all around the structure. If you are unable to have the equipment moved by the due date listed below, you may request an extension. In your extension, please include the following: -the new date that you anticipate compliance will be reached -the reason the extension is needed -temporary compliance solutions (for example, place a barrier such as construction netting around the structure so that children cannot use the equipment until it is moved) Item #1032 and #1033: The medical report/TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/2/25 7/3/25. According to rule .0701(a), the medical report must be on file prior to employment. The TB test/screening must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure the medical report and TB test are received according to the requirements in rule. Item #1048 and #1049: The CPR/First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. You stated the CPR/First Aid training is scheduled for 11/26/25. In your letter of compliance, please include a statement that indicates the training has been completed. Documentation of the training is required to be on file. If the certificate is not available immediately, please plan to have the training provide a statement or a copy of the roster, indicating the staff member has taken the required training. Item #1882: The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. To reach compliance with this item, plan to have the parents of the two (2) children date the medication administration permission forms. Moving forward, plan to screen all medication forms to ensure they are completely filled out. 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 12/4/25. 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: NC Pre-K: The facility no longer provides NC Pre-K services. This was verified on the NC Pre-K plan website. The changes will be made to our Regulatory system following this visit. 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. We discussed a possible shift in ages for each classroom. Please provide a request at least thirty (30) days prior to that change. Please note a visit from building, fire, sanitation and licensing may be needed. The approved floor plan on file was shared with you today for planning purposes. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 11/20/2025 Number Present: 50 Completed Date: 11/20/2025 Age: From 0 To 5 Total Minutes: 390 Time In: 09:30 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 Kathleen McDavid, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. McDavid was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 11/19/25. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 11/19/25. Permit type – Five (5) star license issued 12/9/24 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, certified Developmental Day. The facility is approved to provide NC Pre-K. The facility serves children with special needs and is a contract provider with Buncombe County and Asheville City for IEP services. The last annual compliance visit was conducted on 12/3/24. The last fire drill was practiced on 10/30/25. The last lockdown drill was practiced on 9/30/25. The last playground inspection was documented on 10/29/25. The last fire inspection was approved on 9/2/25. The last sanitation inspection was conducted on 10/28/25 with seven (7) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. Lead water testing was completed on 3/18/25 without hazards. Lead paint was completed on 9/7/24. Asbestos testing was completed on 2/28/24. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. Upon arrival I was greeted by Ms. McDavid. Ms. McDavid accompanied me on a walkthrough of indoor and outdoor caregiving spaces. In classroom space A, children built small structures with magnatiles, completed an alphabet matching activity, rolled toy cars on various surfaces, and pretended to build with a toy tool set. In classroom space C, children participated in a teacher-led art collage projects, rolled trains on a train track and participated in routine caregiving activities such as toileting. In classroom space D, children explored mouthable toys and participated in routine caregiving activities such as sleeping and feeding. In classroom space E, children participated in a free draw art activity using crayons, made animal sounds with a caregiver and prepared to go outside. In classroom space H, children pretended to cook and serve food, painted pictures and participated in routine caregiving activities such as diapering. In classroom space F, children read books with caregivers, pretended to talk on the phone, and participated in routine caregiving activities such as diapering 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 114 A summary of the NC Child Care Law was not given to a parent of every child enrolled in the center. Two (2) children's files did not contain an acknowledgement that the parent received a copy of the summary of the law. GS 110-102 717 Surfacing did not extend six (6) feet beyond the external limits of the equipment or 3 feet for equipment used only by children less than 2 years of age. One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. .0605(l)(1-2) 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. The medical report for one (1) staff, hire date 7/1/25, was dated 7/2/25. 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. The TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/3/25. .0701(a) 1048 All staff did not successfully complete certification in First Aid appropriate to the age of children in care. Verification of staff completion of First Aid training from an approved training organization was not in the staff file. The First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(c) 1049 All staff did not successfully complete certification in CPR training appropriate to the age of the children in care. Verification of staff completion of the CPR course from an approved training organization was not in the staff file. The CPR training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. .1102(d) 1203 Operational policies were not discussed with parents on or before the child's first day and/or they were not notified in writing of all changes. One (1) child's file did not contain an acknowledgement that the parents received the parent handbook. 10A NCAC 09 .0514(b) 1882 Medication authorization, giving the caregiver standing authorization did not meet the specifications in rule. The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. .0803(6)(a-i); .0803(7)(a-g); .0803(8)(a-d) Technical assistance was provided as follows: Item #114 and #1203: We discussed the parent policy signature form currently in use requires parents to check off on the forms that they have received before signing. You stated parents receive a copy of the Summary of the Law and the Parent Handbook at orientation. To reach compliance with this item, have the parents of the two (2) children check the boxes on the policies they have received. If needed, plan to provide an additional copy. I recommend updating the policy form so that the language states the parent has received the policies instead of requiring parents to check off on each form. Item #717: One (1) climber was installed four (4) feet and six (6) inches from a fence post on playground space 1. The fall zone must extend six (6) feet beyond the external limits of the equipment according to rule. If the manufacturer’s instructions state otherwise, you would follow the most restrictive distance. To reach compliance with this item, the equipment must be moved so that there is a six (6) foot fall zone all around the structure. If you are unable to have the equipment moved by the due date listed below, you may request an extension. In your extension, please include the following: -the new date that you anticipate compliance will be reached -the reason the extension is needed -temporary compliance solutions (for example, place a barrier such as construction netting around the structure so that children cannot use the equipment until it is moved) Item #1032 and #1033: The medical report/TB test/screening for one (1) staff, hire date 7/1/25, was dated 7/2/25 7/3/25. According to rule .0701(a), the medical report must be on file prior to employment. The TB test/screening must be on file on or before the first day of work. In your letter of compliance, include a statement that indicates how you will ensure the medical report and TB test are received according to the requirements in rule. Item #1048 and #1049: The CPR/First Aid training certificate for one (1) staff, hire date 7/1/25, expired 11/14/25. You stated the CPR/First Aid training is scheduled for 11/26/25. In your letter of compliance, please include a statement that indicates the training has been completed. Documentation of the training is required to be on file. If the certificate is not available immediately, please plan to have the training provide a statement or a copy of the roster, indicating the staff member has taken the required training. Item #1882: The permissions for one (1) topical medication in classroom D and one (1) inhaler in classroom E did not include the date the parent signed the medication administration permission. To reach compliance with this item, plan to have the parents of the two (2) children date the medication administration permission forms. Moving forward, plan to screen all medication forms to ensure they are completely filled out. 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 12/4/25. 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: NC Pre-K: The facility no longer provides NC Pre-K services. This was verified on the NC Pre-K plan website. The changes will be made to our Regulatory system following this visit. 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. We discussed a possible shift in ages for each classroom. Please provide a request at least thirty (30) days prior to that change. Please note a visit from building, fire, sanitation and licensing may be needed. The approved floor plan on file was shared with you today for planning purposes. 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 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. 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 .1803 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0425-176L Visit Date: 4/17/2025 Number Present: 50 Completed Date: 4/17/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of violations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Jennifer Gerringer, Children Services Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Gerringer assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/15/25. The facility operates with a five-star license issued on 12/9/24. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. The facility meets requirements for Certified Developmental Day, NC Pre-K. The facility serves children with special needs and is a contract provider with Buncombe County and Asheville City for IEP services. On site therapy if offered for OT, PT, SLP with approved insurance. IWC accepts Medicaid. The complaint was received by the Division of Child Development and Early Education on 4/14/25 and sent to me on 4/15/25. Additional information was received and added to the report on 4/17/25. There are allegations of violations of child care requirements including discipline. According to the self-reported concerns, a three year old child was not served snack on 4/2/25. The child was not served breakfast or lunch on 4/3/25. The report states that the child had food withheld from them as disciplinary action in response to behavior exhibited in the block area. I interviewed four (4) staff during the visit today. Staff reports clarified that the child was not served afternoon snack on 4/3/25. The child was not served breakfast or lunch on 4/4/25. The child’s file clarified that they are two years old. I observed classroom G during the transition to lunch. There were seven (7) children ages two to three years old with two (2) caregivers present. Children listened to a story and participated in music and movement activities with the Lead Teacher while the Teacher set up lunch. The Teacher assisted children with washing hands as the Lead Teacher assisted children with beginning lunch. All children were served lunch. Lunch today consisted of cheese pizza, tater tots, pears and milk. Interactions were positive and nurturing. Children were actively supervised at all times. Based on the self report and interview, the allegation regarding discipline is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 907 Discipline was related to food, rest or toileting. On 4/3/25, snack was withheld from a two year old child in classroom space G as a disciplinary measure in response to behavior exhibited in the block center. On 4/4/25, breakfast and lunch were withheld from the same two year old child in classroom space G as a disciplinary measure in response to behavior exhibited in the block center the previous day. .1803(a)(4-6) Technical assistance was provided as follows: Item #907: Food cannot be withheld as punishment or given as a reward in response to a child’s behavior. We discussed the teachers were directed to use this strategy by their Administrator. Refer to rule .1803 (a) to see the full list of prohibited discipline. We discussed the withholding of food was in response to a child refusing to clean up the block center. Other strategies might include offering a teacher or friend to help the child or making clean-up a game. For example, you can time the child to see how fast they can clean up their toys and celebrate when they complete the task. Achieving Compliance: The facility received a violation regarding discipline today. A follow-up visit will be conducted in the near future to determine if staff are implementing appropriate discipline strategies per Child Care Rule 10A NCAC 09 .1803(a)(4). Based on today’s findings, this child care facility received a substantiated complaint regarding discipline. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. Consultation is provided as follows: We discussed the copy of the discipline rule in the orientation binder is out of date. To find an updated copy of the NC Child Care Rules, please visit https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information You stated the discipline policy is reviewed with staff during orientation and annually. Staff sign an acknowledgement for the policies that are reviewed each year. Plan to add a line to this acknowledgment specifically states the Discipline policy has been reviewed. Operator’s Response: Disciplinary action has been taken against the staff involved in the incident according to company policies. We discussed that a meeting is planned for the next teacher workday in which discipline policy, rule and reporting procedures will be covered. I recommend printing the Prohibited Discipline rule section .1803 (a) of the NC Child Care Rules and distributing to staff to keep as a reference. For support with challenging classroom behaviors, you can reach out to one or more of the following contacts for strategies and resources: Davina Weirich, Early Childhood and the SUNSHINE Project Coordinator Phone: (828) 277-1315 Email: davina@firstwnc.org Melissa Maybin, Behavior Specialist Maybin.melissa@swcdcinc.com 828-477-4509 Sharon Fitzgerald, Behavior Specialist Fitzgerald.sharon@swcdcinc.com 828-354-0367 Additionally, the following training is available on-demand from Southwestern Child Development Commission regarding help with transitions: https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-d1a0c04eb967449db3c736a2018e9701 Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2201 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0425-176L Visit Date: 4/17/2025 Number Present: 50 Completed Date: 4/17/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of violations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Jennifer Gerringer, Children Services Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Gerringer assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/15/25. The facility operates with a five-star license issued on 12/9/24. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. The facility meets requirements for Certified Developmental Day, NC Pre-K. The facility serves children with special needs and is a contract provider with Buncombe County and Asheville City for IEP services. On site therapy if offered for OT, PT, SLP with approved insurance. IWC accepts Medicaid. The complaint was received by the Division of Child Development and Early Education on 4/14/25 and sent to me on 4/15/25. Additional information was received and added to the report on 4/17/25. There are allegations of violations of child care requirements including discipline. According to the self-reported concerns, a three year old child was not served snack on 4/2/25. The child was not served breakfast or lunch on 4/3/25. The report states that the child had food withheld from them as disciplinary action in response to behavior exhibited in the block area. I interviewed four (4) staff during the visit today. Staff reports clarified that the child was not served afternoon snack on 4/3/25. The child was not served breakfast or lunch on 4/4/25. The child’s file clarified that they are two years old. I observed classroom G during the transition to lunch. There were seven (7) children ages two to three years old with two (2) caregivers present. Children listened to a story and participated in music and movement activities with the Lead Teacher while the Teacher set up lunch. The Teacher assisted children with washing hands as the Lead Teacher assisted children with beginning lunch. All children were served lunch. Lunch today consisted of cheese pizza, tater tots, pears and milk. Interactions were positive and nurturing. Children were actively supervised at all times. Based on the self report and interview, the allegation regarding discipline is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 907 Discipline was related to food, rest or toileting. On 4/3/25, snack was withheld from a two year old child in classroom space G as a disciplinary measure in response to behavior exhibited in the block center. On 4/4/25, breakfast and lunch were withheld from the same two year old child in classroom space G as a disciplinary measure in response to behavior exhibited in the block center the previous day. .1803(a)(4-6) Technical assistance was provided as follows: Item #907: Food cannot be withheld as punishment or given as a reward in response to a child’s behavior. We discussed the teachers were directed to use this strategy by their Administrator. Refer to rule .1803 (a) to see the full list of prohibited discipline. We discussed the withholding of food was in response to a child refusing to clean up the block center. Other strategies might include offering a teacher or friend to help the child or making clean-up a game. For example, you can time the child to see how fast they can clean up their toys and celebrate when they complete the task. Achieving Compliance: The facility received a violation regarding discipline today. A follow-up visit will be conducted in the near future to determine if staff are implementing appropriate discipline strategies per Child Care Rule 10A NCAC 09 .1803(a)(4). Based on today’s findings, this child care facility received a substantiated complaint regarding discipline. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. Consultation is provided as follows: We discussed the copy of the discipline rule in the orientation binder is out of date. To find an updated copy of the NC Child Care Rules, please visit https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information You stated the discipline policy is reviewed with staff during orientation and annually. Staff sign an acknowledgement for the policies that are reviewed each year. Plan to add a line to this acknowledgment specifically states the Discipline policy has been reviewed. Operator’s Response: Disciplinary action has been taken against the staff involved in the incident according to company policies. We discussed that a meeting is planned for the next teacher workday in which discipline policy, rule and reporting procedures will be covered. I recommend printing the Prohibited Discipline rule section .1803 (a) of the NC Child Care Rules and distributing to staff to keep as a reference. For support with challenging classroom behaviors, you can reach out to one or more of the following contacts for strategies and resources: Davina Weirich, Early Childhood and the SUNSHINE Project Coordinator Phone: (828) 277-1315 Email: davina@firstwnc.org Melissa Maybin, Behavior Specialist Maybin.melissa@swcdcinc.com 828-477-4509 Sharon Fitzgerald, Behavior Specialist Fitzgerald.sharon@swcdcinc.com 828-354-0367 Additionally, the following training is available on-demand from Southwestern Child Development Commission regarding help with transitions: https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-d1a0c04eb967449db3c736a2018e9701 Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: 0425-176L Visit Date: 4/17/2025 Number Present: 50 Completed Date: 4/17/2025 Age: From 0 To 5 Total Minutes: 180 Time In: 09:30 AM Time Out: 12:30 PM Time In: Time Out: List to Use: Center Type Of Visit: Complaint Visit Announced/Unannounced: Unannounced The purpose of today’s visit is to investigate allegations of violations of child care requirements. A computerized generated report of today’s visit was completed, reviewed with you, and signed by me, Kaitlyn Marshall, Child Care Consultant and also signed by Jennifer Gerringer, Children Services Coordinator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Gerringer assisted me today. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-three percent (93%) as of 4/15/25. The facility operates with a five-star license issued on 12/9/24. The Special Services/Restrictions includes 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. The facility meets requirements for Certified Developmental Day, NC Pre-K. The facility serves children with special needs and is a contract provider with Buncombe County and Asheville City for IEP services. On site therapy if offered for OT, PT, SLP with approved insurance. IWC accepts Medicaid. The complaint was received by the Division of Child Development and Early Education on 4/14/25 and sent to me on 4/15/25. Additional information was received and added to the report on 4/17/25. There are allegations of violations of child care requirements including discipline. According to the self-reported concerns, a three year old child was not served snack on 4/2/25. The child was not served breakfast or lunch on 4/3/25. The report states that the child had food withheld from them as disciplinary action in response to behavior exhibited in the block area. I interviewed four (4) staff during the visit today. Staff reports clarified that the child was not served afternoon snack on 4/3/25. The child was not served breakfast or lunch on 4/4/25. The child’s file clarified that they are two years old. I observed classroom G during the transition to lunch. There were seven (7) children ages two to three years old with two (2) caregivers present. Children listened to a story and participated in music and movement activities with the Lead Teacher while the Teacher set up lunch. The Teacher assisted children with washing hands as the Lead Teacher assisted children with beginning lunch. All children were served lunch. Lunch today consisted of cheese pizza, tater tots, pears and milk. Interactions were positive and nurturing. Children were actively supervised at all times. Based on the self report and interview, the allegation regarding discipline is substantiated. The following violations were documented during today’s visit: Violation Number Comment Rule 907 Discipline was related to food, rest or toileting. On 4/3/25, snack was withheld from a two year old child in classroom space G as a disciplinary measure in response to behavior exhibited in the block center. On 4/4/25, breakfast and lunch were withheld from the same two year old child in classroom space G as a disciplinary measure in response to behavior exhibited in the block center the previous day. .1803(a)(4-6) Technical assistance was provided as follows: Item #907: Food cannot be withheld as punishment or given as a reward in response to a child’s behavior. We discussed the teachers were directed to use this strategy by their Administrator. Refer to rule .1803 (a) to see the full list of prohibited discipline. We discussed the withholding of food was in response to a child refusing to clean up the block center. Other strategies might include offering a teacher or friend to help the child or making clean-up a game. For example, you can time the child to see how fast they can clean up their toys and celebrate when they complete the task. Achieving Compliance: The facility received a violation regarding discipline today. A follow-up visit will be conducted in the near future to determine if staff are implementing appropriate discipline strategies per Child Care Rule 10A NCAC 09 .1803(a)(4). Based on today’s findings, this child care facility received a substantiated complaint regarding discipline. This may warrant an administrative action as identified by Child Care Rule 10A NCAC 09 .2201. Additional monitoring visits may be required. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 5/1/25. Email the compliance letter on signed letterhead or in the email identifying your facility name, ID#, name and position to: kaitlyn.marshall@ dhhs.nc.gov or you can mail to: Department of Health and Human Services Division of Child Development and Early Education Attn: Kaitlyn Marshall PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. 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. Consultation is provided as follows: We discussed the copy of the discipline rule in the orientation binder is out of date. To find an updated copy of the NC Child Care Rules, please visit https://ncchildcare.ncdhhs.gov/Services/Child-Care-Rules-Law-and-Public-Information You stated the discipline policy is reviewed with staff during orientation and annually. Staff sign an acknowledgement for the policies that are reviewed each year. Plan to add a line to this acknowledgment specifically states the Discipline policy has been reviewed. Operator’s Response: Disciplinary action has been taken against the staff involved in the incident according to company policies. We discussed that a meeting is planned for the next teacher workday in which discipline policy, rule and reporting procedures will be covered. I recommend printing the Prohibited Discipline rule section .1803 (a) of the NC Child Care Rules and distributing to staff to keep as a reference. For support with challenging classroom behaviors, you can reach out to one or more of the following contacts for strategies and resources: Davina Weirich, Early Childhood and the SUNSHINE Project Coordinator Phone: (828) 277-1315 Email: davina@firstwnc.org Melissa Maybin, Behavior Specialist Maybin.melissa@swcdcinc.com 828-477-4509 Sharon Fitzgerald, Behavior Specialist Fitzgerald.sharon@swcdcinc.com 828-354-0367 Additionally, the following training is available on-demand from Southwestern Child Development Commission regarding help with transitions: https://reg.learningstream.com/reg/event_page.aspx?ek=0042-0007-d1a0c04eb967449db3c736a2018e9701 Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable to your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and can be a resource for you while you strive to provide a safe and healthy environment for the well being of young children. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

G.S. 110-90 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 37 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 12/2/24. Permit type – Five Star License issued 12/12/2022 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day Certified. The facility is approved to provide NC Pre-K, and Certified Developmental Day Services. The facility serves children with special needs. The last annual compliance visit was conducted on 10/23/23. Due to Tropical Storm Helene, the facility was closed from 9/27/24 to 10/28/24. The last fire drill was practiced on 11/20/24. The last shelter-in-place drill was practiced on 9/19/24. The last playground inspection was documented on 11/29/24. The last fire inspection was approved on 9/12/24. The last sanitation inspection was conducted on 8/14/24 with eight (8) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is Teaching Strategies Gold. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to the effects of Tropical Storm Helene, the facility was closed from 9/27/24-10/28/24. Three (3) NC Pre-K children files were monitored today. The three (3) NC Pre-K classrooms A, B, and C operates from 8:30 a.m. to 3:00 p.m. Upon arrival I was greeted by Ms. Spooner. In classroom A, children were building small structures with interlocking blocks, listening to stories with headphones and reading books. In classroom B, children were participating in a teacher-led art project using clay, reading books with caregivers and engaging in pretend play with a doll house and accessories. In classroom C, children were creating 3D art with glue, pipe cleaners, string, scissors and paper, building small structures with wooden blocks and traced tactile letters with their fingers. In classroom D, children were soothed by caregivers and explored mouthable toys and rattling toys. In classroom E, children pretended to cook and eat food with caregivers. In classroom F, children painted with paint pens on paper, and explored magnets with faces of different emotions. In classroom G, children listened to a read aloud and engaged in music and movement and fingerplay songs. In classroom H, children painted and stamped shapes on paper and completed age appropriate puzzles until it was time to wash hands in preparation for lunch. Lunch today consisted of pizza, corn, pineapple, and milk. 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) infant feeding plan in classroom D did not include the parent signature. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The bottom of the fence near the storage shed on playground space 1 is unraveling, exposing sharp edges. .0601(c) 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. One (1) outlet is classroom space A and one (1) outlet in classroom space C was uncovered. 10A NCAC 09 .0604(c) Rule references for all violations can be found in the violations listing above. Technical assistance was provided as follows: Outlets Plan to remind staff to do a sweep of outlets prior to children arriving for the day to ensure all outlets are covered. Protrusions and Sharp Edges We discussed the warped fencing near the storage shed on playground space 1. We discussed that a work order is already in place for this repair. Plan to follow up with maintenance to repair the fence and eliminate the sharp edges. Infant Feeding Plan Infant feeding plans must be signed by the parent and caregiver on or before the child’s first day. Plan to obtain the signature from the parent of the one (1) child in classroom D. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/17/24. 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 PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 8/30/24. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a Four (4) year degree in Birth-Kindergarten, has thirty-two (32) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Six (6) lead teachers hold a 2 year degree or higher in Early Childhood Education or equivalent and have ten or more years of experience earning seven (7) points. The facility has eleven (11) teachers. Seven (7) teachers have a NCECC and three (3) semester hours with one (1) year of experience, earning five (5) points. The facility earns five (5) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 3/15/24, the ECERS-R assessment was conducted, resulting in a score of 6.08. On 3/7/24, the ECERS-R assessment was conducted, resulting in a score of 6.25. On 3/6/24, the ITERS-R assessment was conducted, resulting in a score of 6.16. The overall score is 6.16 points. The facility earns seven (7) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 5 + 1 = 13 for a Five (5) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed the power lines that are still down from Tropical Storm Helene. The lines are not down in caregiving space, but are down on the premises- on the side parking lot and near the side entrance of the building. We discussed that you have closed the side drop off and entrance to the building to families. We discussed that you are reaching out to City of Asheville utilities weekly to request removal. We discussed that downed power lines must remain inaccessible to children. We discussed that windstorms sometimes blow the inactive powerlines within reach of the fence on playground space 2. We discussed possible solutions to place them out of reach of children near this area. Please note, that violations may occur during future visits, as downed powerlines provide both an electric and strangulation hazard. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 37 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 12/2/24. Permit type – Five Star License issued 12/12/2022 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day Certified. The facility is approved to provide NC Pre-K, and Certified Developmental Day Services. The facility serves children with special needs. The last annual compliance visit was conducted on 10/23/23. Due to Tropical Storm Helene, the facility was closed from 9/27/24 to 10/28/24. The last fire drill was practiced on 11/20/24. The last shelter-in-place drill was practiced on 9/19/24. The last playground inspection was documented on 11/29/24. The last fire inspection was approved on 9/12/24. The last sanitation inspection was conducted on 8/14/24 with eight (8) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is Teaching Strategies Gold. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to the effects of Tropical Storm Helene, the facility was closed from 9/27/24-10/28/24. Three (3) NC Pre-K children files were monitored today. The three (3) NC Pre-K classrooms A, B, and C operates from 8:30 a.m. to 3:00 p.m. Upon arrival I was greeted by Ms. Spooner. In classroom A, children were building small structures with interlocking blocks, listening to stories with headphones and reading books. In classroom B, children were participating in a teacher-led art project using clay, reading books with caregivers and engaging in pretend play with a doll house and accessories. In classroom C, children were creating 3D art with glue, pipe cleaners, string, scissors and paper, building small structures with wooden blocks and traced tactile letters with their fingers. In classroom D, children were soothed by caregivers and explored mouthable toys and rattling toys. In classroom E, children pretended to cook and eat food with caregivers. In classroom F, children painted with paint pens on paper, and explored magnets with faces of different emotions. In classroom G, children listened to a read aloud and engaged in music and movement and fingerplay songs. In classroom H, children painted and stamped shapes on paper and completed age appropriate puzzles until it was time to wash hands in preparation for lunch. Lunch today consisted of pizza, corn, pineapple, and milk. 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) infant feeding plan in classroom D did not include the parent signature. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The bottom of the fence near the storage shed on playground space 1 is unraveling, exposing sharp edges. .0601(c) 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. One (1) outlet is classroom space A and one (1) outlet in classroom space C was uncovered. 10A NCAC 09 .0604(c) Rule references for all violations can be found in the violations listing above. Technical assistance was provided as follows: Outlets Plan to remind staff to do a sweep of outlets prior to children arriving for the day to ensure all outlets are covered. Protrusions and Sharp Edges We discussed the warped fencing near the storage shed on playground space 1. We discussed that a work order is already in place for this repair. Plan to follow up with maintenance to repair the fence and eliminate the sharp edges. Infant Feeding Plan Infant feeding plans must be signed by the parent and caregiver on or before the child’s first day. Plan to obtain the signature from the parent of the one (1) child in classroom D. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/17/24. 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 PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 8/30/24. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a Four (4) year degree in Birth-Kindergarten, has thirty-two (32) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Six (6) lead teachers hold a 2 year degree or higher in Early Childhood Education or equivalent and have ten or more years of experience earning seven (7) points. The facility has eleven (11) teachers. Seven (7) teachers have a NCECC and three (3) semester hours with one (1) year of experience, earning five (5) points. The facility earns five (5) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 3/15/24, the ECERS-R assessment was conducted, resulting in a score of 6.08. On 3/7/24, the ECERS-R assessment was conducted, resulting in a score of 6.25. On 3/6/24, the ITERS-R assessment was conducted, resulting in a score of 6.16. The overall score is 6.16 points. The facility earns seven (7) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 5 + 1 = 13 for a Five (5) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed the power lines that are still down from Tropical Storm Helene. The lines are not down in caregiving space, but are down on the premises- on the side parking lot and near the side entrance of the building. We discussed that you have closed the side drop off and entrance to the building to families. We discussed that you are reaching out to City of Asheville utilities weekly to request removal. We discussed that downed power lines must remain inaccessible to children. We discussed that windstorms sometimes blow the inactive powerlines within reach of the fence on playground space 2. We discussed possible solutions to place them out of reach of children near this area. Please note, that violations may occur during future visits, as downed powerlines provide both an electric and strangulation hazard. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 37 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 12/2/24. Permit type – Five Star License issued 12/12/2022 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day Certified. The facility is approved to provide NC Pre-K, and Certified Developmental Day Services. The facility serves children with special needs. The last annual compliance visit was conducted on 10/23/23. Due to Tropical Storm Helene, the facility was closed from 9/27/24 to 10/28/24. The last fire drill was practiced on 11/20/24. The last shelter-in-place drill was practiced on 9/19/24. The last playground inspection was documented on 11/29/24. The last fire inspection was approved on 9/12/24. The last sanitation inspection was conducted on 8/14/24 with eight (8) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is Teaching Strategies Gold. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to the effects of Tropical Storm Helene, the facility was closed from 9/27/24-10/28/24. Three (3) NC Pre-K children files were monitored today. The three (3) NC Pre-K classrooms A, B, and C operates from 8:30 a.m. to 3:00 p.m. Upon arrival I was greeted by Ms. Spooner. In classroom A, children were building small structures with interlocking blocks, listening to stories with headphones and reading books. In classroom B, children were participating in a teacher-led art project using clay, reading books with caregivers and engaging in pretend play with a doll house and accessories. In classroom C, children were creating 3D art with glue, pipe cleaners, string, scissors and paper, building small structures with wooden blocks and traced tactile letters with their fingers. In classroom D, children were soothed by caregivers and explored mouthable toys and rattling toys. In classroom E, children pretended to cook and eat food with caregivers. In classroom F, children painted with paint pens on paper, and explored magnets with faces of different emotions. In classroom G, children listened to a read aloud and engaged in music and movement and fingerplay songs. In classroom H, children painted and stamped shapes on paper and completed age appropriate puzzles until it was time to wash hands in preparation for lunch. Lunch today consisted of pizza, corn, pineapple, and milk. 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) infant feeding plan in classroom D did not include the parent signature. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The bottom of the fence near the storage shed on playground space 1 is unraveling, exposing sharp edges. .0601(c) 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. One (1) outlet is classroom space A and one (1) outlet in classroom space C was uncovered. 10A NCAC 09 .0604(c) Rule references for all violations can be found in the violations listing above. Technical assistance was provided as follows: Outlets Plan to remind staff to do a sweep of outlets prior to children arriving for the day to ensure all outlets are covered. Protrusions and Sharp Edges We discussed the warped fencing near the storage shed on playground space 1. We discussed that a work order is already in place for this repair. Plan to follow up with maintenance to repair the fence and eliminate the sharp edges. Infant Feeding Plan Infant feeding plans must be signed by the parent and caregiver on or before the child’s first day. Plan to obtain the signature from the parent of the one (1) child in classroom D. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/17/24. 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 PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 8/30/24. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a Four (4) year degree in Birth-Kindergarten, has thirty-two (32) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Six (6) lead teachers hold a 2 year degree or higher in Early Childhood Education or equivalent and have ten or more years of experience earning seven (7) points. The facility has eleven (11) teachers. Seven (7) teachers have a NCECC and three (3) semester hours with one (1) year of experience, earning five (5) points. The facility earns five (5) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 3/15/24, the ECERS-R assessment was conducted, resulting in a score of 6.08. On 3/7/24, the ECERS-R assessment was conducted, resulting in a score of 6.25. On 3/6/24, the ITERS-R assessment was conducted, resulting in a score of 6.16. The overall score is 6.16 points. The facility earns seven (7) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 5 + 1 = 13 for a Five (5) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed the power lines that are still down from Tropical Storm Helene. The lines are not down in caregiving space, but are down on the premises- on the side parking lot and near the side entrance of the building. We discussed that you have closed the side drop off and entrance to the building to families. We discussed that you are reaching out to City of Asheville utilities weekly to request removal. We discussed that downed power lines must remain inaccessible to children. We discussed that windstorms sometimes blow the inactive powerlines within reach of the fence on playground space 2. We discussed possible solutions to place them out of reach of children near this area. Please note, that violations may occur during future visits, as downed powerlines provide both an electric and strangulation hazard. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 37 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 12/2/24. Permit type – Five Star License issued 12/12/2022 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day Certified. The facility is approved to provide NC Pre-K, and Certified Developmental Day Services. The facility serves children with special needs. The last annual compliance visit was conducted on 10/23/23. Due to Tropical Storm Helene, the facility was closed from 9/27/24 to 10/28/24. The last fire drill was practiced on 11/20/24. The last shelter-in-place drill was practiced on 9/19/24. The last playground inspection was documented on 11/29/24. The last fire inspection was approved on 9/12/24. The last sanitation inspection was conducted on 8/14/24 with eight (8) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is Teaching Strategies Gold. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to the effects of Tropical Storm Helene, the facility was closed from 9/27/24-10/28/24. Three (3) NC Pre-K children files were monitored today. The three (3) NC Pre-K classrooms A, B, and C operates from 8:30 a.m. to 3:00 p.m. Upon arrival I was greeted by Ms. Spooner. In classroom A, children were building small structures with interlocking blocks, listening to stories with headphones and reading books. In classroom B, children were participating in a teacher-led art project using clay, reading books with caregivers and engaging in pretend play with a doll house and accessories. In classroom C, children were creating 3D art with glue, pipe cleaners, string, scissors and paper, building small structures with wooden blocks and traced tactile letters with their fingers. In classroom D, children were soothed by caregivers and explored mouthable toys and rattling toys. In classroom E, children pretended to cook and eat food with caregivers. In classroom F, children painted with paint pens on paper, and explored magnets with faces of different emotions. In classroom G, children listened to a read aloud and engaged in music and movement and fingerplay songs. In classroom H, children painted and stamped shapes on paper and completed age appropriate puzzles until it was time to wash hands in preparation for lunch. Lunch today consisted of pizza, corn, pineapple, and milk. 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) infant feeding plan in classroom D did not include the parent signature. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The bottom of the fence near the storage shed on playground space 1 is unraveling, exposing sharp edges. .0601(c) 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. One (1) outlet is classroom space A and one (1) outlet in classroom space C was uncovered. 10A NCAC 09 .0604(c) Rule references for all violations can be found in the violations listing above. Technical assistance was provided as follows: Outlets Plan to remind staff to do a sweep of outlets prior to children arriving for the day to ensure all outlets are covered. Protrusions and Sharp Edges We discussed the warped fencing near the storage shed on playground space 1. We discussed that a work order is already in place for this repair. Plan to follow up with maintenance to repair the fence and eliminate the sharp edges. Infant Feeding Plan Infant feeding plans must be signed by the parent and caregiver on or before the child’s first day. Plan to obtain the signature from the parent of the one (1) child in classroom D. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/17/24. 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 PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 8/30/24. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a Four (4) year degree in Birth-Kindergarten, has thirty-two (32) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Six (6) lead teachers hold a 2 year degree or higher in Early Childhood Education or equivalent and have ten or more years of experience earning seven (7) points. The facility has eleven (11) teachers. Seven (7) teachers have a NCECC and three (3) semester hours with one (1) year of experience, earning five (5) points. The facility earns five (5) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 3/15/24, the ECERS-R assessment was conducted, resulting in a score of 6.08. On 3/7/24, the ECERS-R assessment was conducted, resulting in a score of 6.25. On 3/6/24, the ITERS-R assessment was conducted, resulting in a score of 6.16. The overall score is 6.16 points. The facility earns seven (7) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 5 + 1 = 13 for a Five (5) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed the power lines that are still down from Tropical Storm Helene. The lines are not down in caregiving space, but are down on the premises- on the side parking lot and near the side entrance of the building. We discussed that you have closed the side drop off and entrance to the building to families. We discussed that you are reaching out to City of Asheville utilities weekly to request removal. We discussed that downed power lines must remain inaccessible to children. We discussed that windstorms sometimes blow the inactive powerlines within reach of the fence on playground space 2. We discussed possible solutions to place them out of reach of children near this area. Please note, that violations may occur during future visits, as downed powerlines provide both an electric and strangulation hazard. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 37 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 12/2/24. Permit type – Five Star License issued 12/12/2022 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day Certified. The facility is approved to provide NC Pre-K, and Certified Developmental Day Services. The facility serves children with special needs. The last annual compliance visit was conducted on 10/23/23. Due to Tropical Storm Helene, the facility was closed from 9/27/24 to 10/28/24. The last fire drill was practiced on 11/20/24. The last shelter-in-place drill was practiced on 9/19/24. The last playground inspection was documented on 11/29/24. The last fire inspection was approved on 9/12/24. The last sanitation inspection was conducted on 8/14/24 with eight (8) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is Teaching Strategies Gold. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to the effects of Tropical Storm Helene, the facility was closed from 9/27/24-10/28/24. Three (3) NC Pre-K children files were monitored today. The three (3) NC Pre-K classrooms A, B, and C operates from 8:30 a.m. to 3:00 p.m. Upon arrival I was greeted by Ms. Spooner. In classroom A, children were building small structures with interlocking blocks, listening to stories with headphones and reading books. In classroom B, children were participating in a teacher-led art project using clay, reading books with caregivers and engaging in pretend play with a doll house and accessories. In classroom C, children were creating 3D art with glue, pipe cleaners, string, scissors and paper, building small structures with wooden blocks and traced tactile letters with their fingers. In classroom D, children were soothed by caregivers and explored mouthable toys and rattling toys. In classroom E, children pretended to cook and eat food with caregivers. In classroom F, children painted with paint pens on paper, and explored magnets with faces of different emotions. In classroom G, children listened to a read aloud and engaged in music and movement and fingerplay songs. In classroom H, children painted and stamped shapes on paper and completed age appropriate puzzles until it was time to wash hands in preparation for lunch. Lunch today consisted of pizza, corn, pineapple, and milk. 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) infant feeding plan in classroom D did not include the parent signature. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The bottom of the fence near the storage shed on playground space 1 is unraveling, exposing sharp edges. .0601(c) 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. One (1) outlet is classroom space A and one (1) outlet in classroom space C was uncovered. 10A NCAC 09 .0604(c) Rule references for all violations can be found in the violations listing above. Technical assistance was provided as follows: Outlets Plan to remind staff to do a sweep of outlets prior to children arriving for the day to ensure all outlets are covered. Protrusions and Sharp Edges We discussed the warped fencing near the storage shed on playground space 1. We discussed that a work order is already in place for this repair. Plan to follow up with maintenance to repair the fence and eliminate the sharp edges. Infant Feeding Plan Infant feeding plans must be signed by the parent and caregiver on or before the child’s first day. Plan to obtain the signature from the parent of the one (1) child in classroom D. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/17/24. 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 PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 8/30/24. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a Four (4) year degree in Birth-Kindergarten, has thirty-two (32) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Six (6) lead teachers hold a 2 year degree or higher in Early Childhood Education or equivalent and have ten or more years of experience earning seven (7) points. The facility has eleven (11) teachers. Seven (7) teachers have a NCECC and three (3) semester hours with one (1) year of experience, earning five (5) points. The facility earns five (5) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 3/15/24, the ECERS-R assessment was conducted, resulting in a score of 6.08. On 3/7/24, the ECERS-R assessment was conducted, resulting in a score of 6.25. On 3/6/24, the ITERS-R assessment was conducted, resulting in a score of 6.16. The overall score is 6.16 points. The facility earns seven (7) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 5 + 1 = 13 for a Five (5) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed the power lines that are still down from Tropical Storm Helene. The lines are not down in caregiving space, but are down on the premises- on the side parking lot and near the side entrance of the building. We discussed that you have closed the side drop off and entrance to the building to families. We discussed that you are reaching out to City of Asheville utilities weekly to request removal. We discussed that downed power lines must remain inaccessible to children. We discussed that windstorms sometimes blow the inactive powerlines within reach of the fence on playground space 2. We discussed possible solutions to place them out of reach of children near this area. Please note, that violations may occur during future visits, as downed powerlines provide both an electric and strangulation hazard. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 37 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 12/2/24. Permit type – Five Star License issued 12/12/2022 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day Certified. The facility is approved to provide NC Pre-K, and Certified Developmental Day Services. The facility serves children with special needs. The last annual compliance visit was conducted on 10/23/23. Due to Tropical Storm Helene, the facility was closed from 9/27/24 to 10/28/24. The last fire drill was practiced on 11/20/24. The last shelter-in-place drill was practiced on 9/19/24. The last playground inspection was documented on 11/29/24. The last fire inspection was approved on 9/12/24. The last sanitation inspection was conducted on 8/14/24 with eight (8) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is Teaching Strategies Gold. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to the effects of Tropical Storm Helene, the facility was closed from 9/27/24-10/28/24. Three (3) NC Pre-K children files were monitored today. The three (3) NC Pre-K classrooms A, B, and C operates from 8:30 a.m. to 3:00 p.m. Upon arrival I was greeted by Ms. Spooner. In classroom A, children were building small structures with interlocking blocks, listening to stories with headphones and reading books. In classroom B, children were participating in a teacher-led art project using clay, reading books with caregivers and engaging in pretend play with a doll house and accessories. In classroom C, children were creating 3D art with glue, pipe cleaners, string, scissors and paper, building small structures with wooden blocks and traced tactile letters with their fingers. In classroom D, children were soothed by caregivers and explored mouthable toys and rattling toys. In classroom E, children pretended to cook and eat food with caregivers. In classroom F, children painted with paint pens on paper, and explored magnets with faces of different emotions. In classroom G, children listened to a read aloud and engaged in music and movement and fingerplay songs. In classroom H, children painted and stamped shapes on paper and completed age appropriate puzzles until it was time to wash hands in preparation for lunch. Lunch today consisted of pizza, corn, pineapple, and milk. 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) infant feeding plan in classroom D did not include the parent signature. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The bottom of the fence near the storage shed on playground space 1 is unraveling, exposing sharp edges. .0601(c) 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. One (1) outlet is classroom space A and one (1) outlet in classroom space C was uncovered. 10A NCAC 09 .0604(c) Rule references for all violations can be found in the violations listing above. Technical assistance was provided as follows: Outlets Plan to remind staff to do a sweep of outlets prior to children arriving for the day to ensure all outlets are covered. Protrusions and Sharp Edges We discussed the warped fencing near the storage shed on playground space 1. We discussed that a work order is already in place for this repair. Plan to follow up with maintenance to repair the fence and eliminate the sharp edges. Infant Feeding Plan Infant feeding plans must be signed by the parent and caregiver on or before the child’s first day. Plan to obtain the signature from the parent of the one (1) child in classroom D. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/17/24. 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 PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 8/30/24. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a Four (4) year degree in Birth-Kindergarten, has thirty-two (32) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Six (6) lead teachers hold a 2 year degree or higher in Early Childhood Education or equivalent and have ten or more years of experience earning seven (7) points. The facility has eleven (11) teachers. Seven (7) teachers have a NCECC and three (3) semester hours with one (1) year of experience, earning five (5) points. The facility earns five (5) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 3/15/24, the ECERS-R assessment was conducted, resulting in a score of 6.08. On 3/7/24, the ECERS-R assessment was conducted, resulting in a score of 6.25. On 3/6/24, the ITERS-R assessment was conducted, resulting in a score of 6.16. The overall score is 6.16 points. The facility earns seven (7) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 5 + 1 = 13 for a Five (5) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed the power lines that are still down from Tropical Storm Helene. The lines are not down in caregiving space, but are down on the premises- on the side parking lot and near the side entrance of the building. We discussed that you have closed the side drop off and entrance to the building to families. We discussed that you are reaching out to City of Asheville utilities weekly to request removal. We discussed that downed power lines must remain inaccessible to children. We discussed that windstorms sometimes blow the inactive powerlines within reach of the fence on playground space 2. We discussed possible solutions to place them out of reach of children near this area. Please note, that violations may occur during future visits, as downed powerlines provide both an electric and strangulation hazard. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any monitoring visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 12/3/2024 Number Present: 37 Completed Date: 12/3/2024 Age: From 0 To 5 Total Minutes: 330 Time In: 09:30 AM Time Out: 03:00 PM Time In: Time Out: List to Use: Center Type Of Visit: Annual Comp w/Rated Lic Assess Announced/Unannounced: Unannounced The purpose of today’s visit was to monitor compliance during an annual compliance with a rated license assessment visit. A computerized generated report of today’s visit was completed, reviewed with you, and signed by Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. A signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was ninety-five percent (95%) as of 12/2/24. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 12/2/24. Permit type – Five Star License issued 12/12/2022 Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day Certified. The facility is approved to provide NC Pre-K, and Certified Developmental Day Services. The facility serves children with special needs. The last annual compliance visit was conducted on 10/23/23. Due to Tropical Storm Helene, the facility was closed from 9/27/24 to 10/28/24. The last fire drill was practiced on 11/20/24. The last shelter-in-place drill was practiced on 9/19/24. The last playground inspection was documented on 11/29/24. The last fire inspection was approved on 9/12/24. The last sanitation inspection was conducted on 8/14/24 with eight (8) demerits for a Superior classification. The Emergency Medical Care plan was posted and current. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is Teaching Strategies Gold. The program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was not reviewed today. Due to the effects of Tropical Storm Helene, the facility was closed from 9/27/24-10/28/24. Three (3) NC Pre-K children files were monitored today. The three (3) NC Pre-K classrooms A, B, and C operates from 8:30 a.m. to 3:00 p.m. Upon arrival I was greeted by Ms. Spooner. In classroom A, children were building small structures with interlocking blocks, listening to stories with headphones and reading books. In classroom B, children were participating in a teacher-led art project using clay, reading books with caregivers and engaging in pretend play with a doll house and accessories. In classroom C, children were creating 3D art with glue, pipe cleaners, string, scissors and paper, building small structures with wooden blocks and traced tactile letters with their fingers. In classroom D, children were soothed by caregivers and explored mouthable toys and rattling toys. In classroom E, children pretended to cook and eat food with caregivers. In classroom F, children painted with paint pens on paper, and explored magnets with faces of different emotions. In classroom G, children listened to a read aloud and engaged in music and movement and fingerplay songs. In classroom H, children painted and stamped shapes on paper and completed age appropriate puzzles until it was time to wash hands in preparation for lunch. Lunch today consisted of pizza, corn, pineapple, and milk. 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) infant feeding plan in classroom D did not include the parent signature. .0902(a) 705 Equipment and furnishings were not sturdy, stable and free of hazards. The bottom of the fence near the storage shed on playground space 1 is unraveling, exposing sharp edges. .0601(c) 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. One (1) outlet is classroom space A and one (1) outlet in classroom space C was uncovered. 10A NCAC 09 .0604(c) Rule references for all violations can be found in the violations listing above. Technical assistance was provided as follows: Outlets Plan to remind staff to do a sweep of outlets prior to children arriving for the day to ensure all outlets are covered. Protrusions and Sharp Edges We discussed the warped fencing near the storage shed on playground space 1. We discussed that a work order is already in place for this repair. Plan to follow up with maintenance to repair the fence and eliminate the sharp edges. Infant Feeding Plan Infant feeding plans must be signed by the parent and caregiver on or before the child’s first day. Plan to obtain the signature from the parent of the one (1) child in classroom D. Achieving Compliance: Child Care programs are expected to achieve and maintain compliance at all times and are required by NC GS 110-90(4) (d) to achieve and maintain an eighteen-month compliance history score of at least seventy-five percent. Any violation(s) documented may impact the compliance history score. The violation(s) documented must be corrected immediately. I must receive a written, dated, and signed compliance letter that describes accurately and in detail, how and when the violations were corrected. Please be aware any information submitted by you is legal documentation. If it is determined the information provided in the letter is not true, this may be considered falsification of information. If sufficient information is not received by the due date, a follow-up visit will be conducted. The violations documented above must be corrected immediately. Send me a letter of compliance describing in detail specifically how each violation was corrected and how compliance will be maintained in the future. Include the following: • Facility name • Facility ID# • Date of visit • Violation item number • Statement of compliance I must receive your compliance statement by 12/17/24. 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 PO Box 19531 Asheville, NC 28815 Please call me at 828-713-8192, or email kaitlyn.marshall@dhhs.nc.gov, if you need assistance. Please note: if mailing the letter of compliance, I must receive it by the due date listed above. You will need to mail a compliance statement three to five days prior to the due date to ensure receipt is within the designated timeline. Failure to correct the violations and send the written statement by the due date listed above may result in an unannounced follow-up visit being conducted. Based on Child Care Rule 10A NCAC 09 Section .2200, the Division of Child Development may take administrative action against the license and/or impose civil penalties based on the failure of the operator to correct any documented violations within the established time period. Consultation is provided as follows: Rated License Assessment: Your facility was placed in cohort 1. Your Prep Year was 7/1/23-6/30/24. You submitted your application for re-assessment on 8/30/24. Your Rated License Assessment is based on the following: Education: Points are earned based on the lowest level of education for any one position. The Administrator has the North Carolina Early Childhood Administration Credential (NCECAC) Level 3, a Four (4) year degree in Birth-Kindergarten, has thirty-two (32) years of experience earning seven (7) points. The facility has eight (8) lead teachers. Six (6) lead teachers hold a 2 year degree or higher in Early Childhood Education or equivalent and have ten or more years of experience earning seven (7) points. The facility has eleven (11) teachers. Seven (7) teachers have a NCECC and three (3) semester hours with one (1) year of experience, earning five (5) points. The facility earns five (5) education points. Program Standards – The program currently meets enhanced space and reduced ratios. On 3/15/24, the ECERS-R assessment was conducted, resulting in a score of 6.08. On 3/7/24, the ECERS-R assessment was conducted, resulting in a score of 6.25. On 3/6/24, the ITERS-R assessment was conducted, resulting in a score of 6.16. The overall score is 6.16 points. The facility earns seven (7) program points. Quality Point: The facility’s personnel and operational policies were reviewed today. The facility meets the programmatic option of staff benefits package and infrastructure of parent involvement. The facility provides vacation time, sick leave, health insurance and retirement to meet the staff benefits package requirement. The facility provides a quarterly newsletter and periodic conferences to meet the infrastructure of parent involvement. The facility earns one (1) quality point. Total – 7+ 5 + 1 = 13 for a Five (5) Star License. We discussed that these calculations are preliminary and must be sent for approval by supervisory staff. If there are any discrepancies, errors, or additional information needed, you will be contacted. We discussed the power lines that are still down from Tropical Storm Helene. The lines are not down in caregiving space, but are down on the premises- on the side parking lot and near the side entrance of the building. We discussed that you have closed the side drop off and entrance to the building to families. We discussed that you are reaching out to City of Asheville utilities weekly to request removal. We discussed that downed power lines must remain inaccessible to children. We discussed that windstorms sometimes blow the inactive powerlines within reach of the fence on playground space 2. We discussed possible solutions to place them out of reach of children near this area. Please note, that violations may occur during future visits, as downed powerlines provide both an electric and strangulation hazard. If you elect to change and/or alter any previously approved spaces used by children as indicated on the approved indoor and outdoor floor plan, you will need to contact me within thirty (30) days prior to the change. Failure to notify a DCDEE representative may result in a violation of child care requirements. Child Care Rule 10A NCAC 09 .0304(a) states “Each operator shall schedule and obtain a fire inspection within 12 months of the center's previous fire inspection. The operator shall notify the local fire inspector when it is time for the center's annual fire inspection. The operator shall submit the original of the approved annual fire inspection report to the Division within one week of the inspection visit on the form provided by the Division.” As child care providers, you are a vital part in the prevention and intervention of child maltreatment! You may see potential indicators of maltreatment in the children under your care. Some children may even be more likely to disclose maltreatment to a child care provider than to a family member. It is required that all providers are aware of maltreatment indicators and to report any suspicions of maltreatment. Follow child care rules related to child maltreatment training: 10A NCAC 09 .1102(g) and 10A NCAC 09 .1703(a)(5) states the child care administrator, operator, and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. As stated in G.S. 110-90.2 & .2703(r) child care operators are to notify the Division of any new child care providers working who were hired or moved into the child care facility within five business days. The process of notifying the Division has changed and is now captured in ABCMS. This change has been in effect since February 2024. Effective immediately, you will need to obtain a Business NCID and complete Provider Portal training in Moodle at https://www.dcdee.moodle.nc.gov/course/view.php?id=119. No action is needed on your part if you have completed the reference training and are currently using the ABCMS Provider Portal to update information regarding new hires or residents. Once the training has been completed and access has been given, you must verify your facility roster to ensure current staff are noted on the roster. This information should be updated in ABCMS in an ongoing basis as staff members are hired and when their employment is terminated. This satisfies the requirement to notify the Division of new child care providers working who were hired or moved into the child care facility within five business days. The compliance of this rule will be monitored during your next visit. Please note, the hard copy of the Change of Information form will no longer be needed or accepted. Should you need assistance please contact the Criminal Background Check Unit at (919) 814-8401 and someone will assist you. 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: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 65 Completed Date: 10/23/2023 Age: From 0 To 5 Total Minutes: 440 Time In: 09:40 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 Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 10/18/23. Permit type – Five (5) Star License issued 12/12/22. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. Requirements met for NC Pre-K and Developmental Day. The facility serves children with special needs. The last annual compliance visit was conducted on 11/9/22. The last fire drill was practiced on 10/6/23. The last shelter-in-place drill was practiced on 10/16/23. The last playground inspection was documented on 9/22/23. The last fire inspection conducted on 10/11/23. The facility is working with the fire marshal to correct items for a reinspection. The last sanitation inspection was conducted on 10/9/23 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response plan was updated on 8/7/23. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is COR Advantage. In classroom space A, children were painting with leaves, stringing leaves on jute twine, and engaging in pretend play by caring for baby dolls. In classroom space B, children were observed tracing stencils with markers, rolling and cutting shapes out of play doh and reading books with caregivers. In classroom space C, children were observed counting pumpkins, being soothed by caregivers, building with train tracks and wooden blocks. In classroom space D, children were observed being bottle fed by caregivers, pulling up on furniture, and exploring sounds by tapping various objects on shelves. In classroom space E, children were playing outside, swinging on adaptive swings, digging in sandboxes and climbing. In classroom space F, children were observed singing songs with caregivers and playing with puppets. In classroom space G, children were engaged in a large group music and movement activity. In classroom space H, children were engaged in a large group read aloud and acted out feelings. Lunch today consisted of egg salad sandwich with whole grain bread, sweet potato tots, pears, peaches and pineapple and milk. Interactions were positive and nurturing. Children were actively supervised at all times. There are seventy-one (71) children enrolled including thirteen (13) NC Pre-K children. Eight (8) children’s files were monitored including two (2) NC Pre-K children’s files. There are thirty-five (35) staff. Three (3) existing staff files were monitored. Fifteen (15) new staff files were monitored. 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 program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today and was completed on 10/5/23. The classroom operates from 8:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 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, hire date 7/17/23, did not complete First Aid training. .1102(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff hire date 5/12/23 did not have a training certificate on file. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff, hire date 9/11/18, did not complete the topics of Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants, Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment, Recognizing and reporting child abuse, child neglect, and child maltreatment as part of the five (5) year renewal. Certificates of the completed topics were not maintained in the staff member's file. .1103(b) Technical assistance was provided as follows: Item #1048 The one (1) staff must receive First Aid Training from an approved source. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1897 The training certificate for Recognizing and Responding to Suspicions of Child Maltreatment for the one (1) staff must be placed in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #1899 The one (1) staff must complete the training topics emergency preparedness and response planning for emergencies resulting from a natural disaster or man-caused event, handling and storage of hazardous materials, prevention of shaken baby syndrome, abusive head trauma and child maltreatment and recognizing and reporting child abuse, neglect and maltreatment as part of the five (5) year renewal. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 11/6/23. 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: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. 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. We discussed the Rated License Reassessment. Your facility has been placed in cohort 1. You are currently in your Prep Year which ends on 6/30/24. Your reassessment year will be 7/1/24-6/30/25. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed the Prep Year Assessment option from the North Carolina Rated License Assessment Project (NCRLAP). Prep Year information was shared with you via email today. Plan to submit the Rated License Assessment Request Review form when your facility is ready for the Prep Year assessment. Please note, the Prep Year assessment option is only available to 6/30/24 for your facility. Please visit ncrlap.org for more information regarding Rated License Reassessment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1102 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 65 Completed Date: 10/23/2023 Age: From 0 To 5 Total Minutes: 440 Time In: 09:40 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 Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 10/18/23. Permit type – Five (5) Star License issued 12/12/22. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. Requirements met for NC Pre-K and Developmental Day. The facility serves children with special needs. The last annual compliance visit was conducted on 11/9/22. The last fire drill was practiced on 10/6/23. The last shelter-in-place drill was practiced on 10/16/23. The last playground inspection was documented on 9/22/23. The last fire inspection conducted on 10/11/23. The facility is working with the fire marshal to correct items for a reinspection. The last sanitation inspection was conducted on 10/9/23 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response plan was updated on 8/7/23. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is COR Advantage. In classroom space A, children were painting with leaves, stringing leaves on jute twine, and engaging in pretend play by caring for baby dolls. In classroom space B, children were observed tracing stencils with markers, rolling and cutting shapes out of play doh and reading books with caregivers. In classroom space C, children were observed counting pumpkins, being soothed by caregivers, building with train tracks and wooden blocks. In classroom space D, children were observed being bottle fed by caregivers, pulling up on furniture, and exploring sounds by tapping various objects on shelves. In classroom space E, children were playing outside, swinging on adaptive swings, digging in sandboxes and climbing. In classroom space F, children were observed singing songs with caregivers and playing with puppets. In classroom space G, children were engaged in a large group music and movement activity. In classroom space H, children were engaged in a large group read aloud and acted out feelings. Lunch today consisted of egg salad sandwich with whole grain bread, sweet potato tots, pears, peaches and pineapple and milk. Interactions were positive and nurturing. Children were actively supervised at all times. There are seventy-one (71) children enrolled including thirteen (13) NC Pre-K children. Eight (8) children’s files were monitored including two (2) NC Pre-K children’s files. There are thirty-five (35) staff. Three (3) existing staff files were monitored. Fifteen (15) new staff files were monitored. 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 program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today and was completed on 10/5/23. The classroom operates from 8:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 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, hire date 7/17/23, did not complete First Aid training. .1102(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff hire date 5/12/23 did not have a training certificate on file. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff, hire date 9/11/18, did not complete the topics of Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants, Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment, Recognizing and reporting child abuse, child neglect, and child maltreatment as part of the five (5) year renewal. Certificates of the completed topics were not maintained in the staff member's file. .1103(b) Technical assistance was provided as follows: Item #1048 The one (1) staff must receive First Aid Training from an approved source. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1897 The training certificate for Recognizing and Responding to Suspicions of Child Maltreatment for the one (1) staff must be placed in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #1899 The one (1) staff must complete the training topics emergency preparedness and response planning for emergencies resulting from a natural disaster or man-caused event, handling and storage of hazardous materials, prevention of shaken baby syndrome, abusive head trauma and child maltreatment and recognizing and reporting child abuse, neglect and maltreatment as part of the five (5) year renewal. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 11/6/23. 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: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. 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. We discussed the Rated License Reassessment. Your facility has been placed in cohort 1. You are currently in your Prep Year which ends on 6/30/24. Your reassessment year will be 7/1/24-6/30/25. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed the Prep Year Assessment option from the North Carolina Rated License Assessment Project (NCRLAP). Prep Year information was shared with you via email today. Plan to submit the Rated License Assessment Request Review form when your facility is ready for the Prep Year assessment. Please note, the Prep Year assessment option is only available to 6/30/24 for your facility. Please visit ncrlap.org for more information regarding Rated License Reassessment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1103 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 65 Completed Date: 10/23/2023 Age: From 0 To 5 Total Minutes: 440 Time In: 09:40 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 Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 10/18/23. Permit type – Five (5) Star License issued 12/12/22. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. Requirements met for NC Pre-K and Developmental Day. The facility serves children with special needs. The last annual compliance visit was conducted on 11/9/22. The last fire drill was practiced on 10/6/23. The last shelter-in-place drill was practiced on 10/16/23. The last playground inspection was documented on 9/22/23. The last fire inspection conducted on 10/11/23. The facility is working with the fire marshal to correct items for a reinspection. The last sanitation inspection was conducted on 10/9/23 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response plan was updated on 8/7/23. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is COR Advantage. In classroom space A, children were painting with leaves, stringing leaves on jute twine, and engaging in pretend play by caring for baby dolls. In classroom space B, children were observed tracing stencils with markers, rolling and cutting shapes out of play doh and reading books with caregivers. In classroom space C, children were observed counting pumpkins, being soothed by caregivers, building with train tracks and wooden blocks. In classroom space D, children were observed being bottle fed by caregivers, pulling up on furniture, and exploring sounds by tapping various objects on shelves. In classroom space E, children were playing outside, swinging on adaptive swings, digging in sandboxes and climbing. In classroom space F, children were observed singing songs with caregivers and playing with puppets. In classroom space G, children were engaged in a large group music and movement activity. In classroom space H, children were engaged in a large group read aloud and acted out feelings. Lunch today consisted of egg salad sandwich with whole grain bread, sweet potato tots, pears, peaches and pineapple and milk. Interactions were positive and nurturing. Children were actively supervised at all times. There are seventy-one (71) children enrolled including thirteen (13) NC Pre-K children. Eight (8) children’s files were monitored including two (2) NC Pre-K children’s files. There are thirty-five (35) staff. Three (3) existing staff files were monitored. Fifteen (15) new staff files were monitored. 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 program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today and was completed on 10/5/23. The classroom operates from 8:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 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, hire date 7/17/23, did not complete First Aid training. .1102(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff hire date 5/12/23 did not have a training certificate on file. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff, hire date 9/11/18, did not complete the topics of Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants, Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment, Recognizing and reporting child abuse, child neglect, and child maltreatment as part of the five (5) year renewal. Certificates of the completed topics were not maintained in the staff member's file. .1103(b) Technical assistance was provided as follows: Item #1048 The one (1) staff must receive First Aid Training from an approved source. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1897 The training certificate for Recognizing and Responding to Suspicions of Child Maltreatment for the one (1) staff must be placed in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #1899 The one (1) staff must complete the training topics emergency preparedness and response planning for emergencies resulting from a natural disaster or man-caused event, handling and storage of hazardous materials, prevention of shaken baby syndrome, abusive head trauma and child maltreatment and recognizing and reporting child abuse, neglect and maltreatment as part of the five (5) year renewal. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 11/6/23. 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: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. 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. We discussed the Rated License Reassessment. Your facility has been placed in cohort 1. You are currently in your Prep Year which ends on 6/30/24. Your reassessment year will be 7/1/24-6/30/25. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed the Prep Year Assessment option from the North Carolina Rated License Assessment Project (NCRLAP). Prep Year information was shared with you via email today. Plan to submit the Rated License Assessment Request Review form when your facility is ready for the Prep Year assessment. Please note, the Prep Year assessment option is only available to 6/30/24 for your facility. Please visit ncrlap.org for more information regarding Rated License Reassessment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .1703 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 65 Completed Date: 10/23/2023 Age: From 0 To 5 Total Minutes: 440 Time In: 09:40 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 Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 10/18/23. Permit type – Five (5) Star License issued 12/12/22. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. Requirements met for NC Pre-K and Developmental Day. The facility serves children with special needs. The last annual compliance visit was conducted on 11/9/22. The last fire drill was practiced on 10/6/23. The last shelter-in-place drill was practiced on 10/16/23. The last playground inspection was documented on 9/22/23. The last fire inspection conducted on 10/11/23. The facility is working with the fire marshal to correct items for a reinspection. The last sanitation inspection was conducted on 10/9/23 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response plan was updated on 8/7/23. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is COR Advantage. In classroom space A, children were painting with leaves, stringing leaves on jute twine, and engaging in pretend play by caring for baby dolls. In classroom space B, children were observed tracing stencils with markers, rolling and cutting shapes out of play doh and reading books with caregivers. In classroom space C, children were observed counting pumpkins, being soothed by caregivers, building with train tracks and wooden blocks. In classroom space D, children were observed being bottle fed by caregivers, pulling up on furniture, and exploring sounds by tapping various objects on shelves. In classroom space E, children were playing outside, swinging on adaptive swings, digging in sandboxes and climbing. In classroom space F, children were observed singing songs with caregivers and playing with puppets. In classroom space G, children were engaged in a large group music and movement activity. In classroom space H, children were engaged in a large group read aloud and acted out feelings. Lunch today consisted of egg salad sandwich with whole grain bread, sweet potato tots, pears, peaches and pineapple and milk. Interactions were positive and nurturing. Children were actively supervised at all times. There are seventy-one (71) children enrolled including thirteen (13) NC Pre-K children. Eight (8) children’s files were monitored including two (2) NC Pre-K children’s files. There are thirty-five (35) staff. Three (3) existing staff files were monitored. Fifteen (15) new staff files were monitored. 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 program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today and was completed on 10/5/23. The classroom operates from 8:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 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, hire date 7/17/23, did not complete First Aid training. .1102(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff hire date 5/12/23 did not have a training certificate on file. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff, hire date 9/11/18, did not complete the topics of Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants, Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment, Recognizing and reporting child abuse, child neglect, and child maltreatment as part of the five (5) year renewal. Certificates of the completed topics were not maintained in the staff member's file. .1103(b) Technical assistance was provided as follows: Item #1048 The one (1) staff must receive First Aid Training from an approved source. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1897 The training certificate for Recognizing and Responding to Suspicions of Child Maltreatment for the one (1) staff must be placed in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #1899 The one (1) staff must complete the training topics emergency preparedness and response planning for emergencies resulting from a natural disaster or man-caused event, handling and storage of hazardous materials, prevention of shaken baby syndrome, abusive head trauma and child maltreatment and recognizing and reporting child abuse, neglect and maltreatment as part of the five (5) year renewal. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 11/6/23. 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: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. 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. We discussed the Rated License Reassessment. Your facility has been placed in cohort 1. You are currently in your Prep Year which ends on 6/30/24. Your reassessment year will be 7/1/24-6/30/25. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed the Prep Year Assessment option from the North Carolina Rated License Assessment Project (NCRLAP). Prep Year information was shared with you via email today. Plan to submit the Rated License Assessment Request Review form when your facility is ready for the Prep Year assessment. Please note, the Prep Year assessment option is only available to 6/30/24 for your facility. Please visit ncrlap.org for more information regarding Rated License Reassessment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

10A NCAC 09 .2830 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 65 Completed Date: 10/23/2023 Age: From 0 To 5 Total Minutes: 440 Time In: 09:40 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 Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 10/18/23. Permit type – Five (5) Star License issued 12/12/22. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. Requirements met for NC Pre-K and Developmental Day. The facility serves children with special needs. The last annual compliance visit was conducted on 11/9/22. The last fire drill was practiced on 10/6/23. The last shelter-in-place drill was practiced on 10/16/23. The last playground inspection was documented on 9/22/23. The last fire inspection conducted on 10/11/23. The facility is working with the fire marshal to correct items for a reinspection. The last sanitation inspection was conducted on 10/9/23 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response plan was updated on 8/7/23. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is COR Advantage. In classroom space A, children were painting with leaves, stringing leaves on jute twine, and engaging in pretend play by caring for baby dolls. In classroom space B, children were observed tracing stencils with markers, rolling and cutting shapes out of play doh and reading books with caregivers. In classroom space C, children were observed counting pumpkins, being soothed by caregivers, building with train tracks and wooden blocks. In classroom space D, children were observed being bottle fed by caregivers, pulling up on furniture, and exploring sounds by tapping various objects on shelves. In classroom space E, children were playing outside, swinging on adaptive swings, digging in sandboxes and climbing. In classroom space F, children were observed singing songs with caregivers and playing with puppets. In classroom space G, children were engaged in a large group music and movement activity. In classroom space H, children were engaged in a large group read aloud and acted out feelings. Lunch today consisted of egg salad sandwich with whole grain bread, sweet potato tots, pears, peaches and pineapple and milk. Interactions were positive and nurturing. Children were actively supervised at all times. There are seventy-one (71) children enrolled including thirteen (13) NC Pre-K children. Eight (8) children’s files were monitored including two (2) NC Pre-K children’s files. There are thirty-five (35) staff. Three (3) existing staff files were monitored. Fifteen (15) new staff files were monitored. 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 program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today and was completed on 10/5/23. The classroom operates from 8:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 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, hire date 7/17/23, did not complete First Aid training. .1102(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff hire date 5/12/23 did not have a training certificate on file. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff, hire date 9/11/18, did not complete the topics of Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants, Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment, Recognizing and reporting child abuse, child neglect, and child maltreatment as part of the five (5) year renewal. Certificates of the completed topics were not maintained in the staff member's file. .1103(b) Technical assistance was provided as follows: Item #1048 The one (1) staff must receive First Aid Training from an approved source. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1897 The training certificate for Recognizing and Responding to Suspicions of Child Maltreatment for the one (1) staff must be placed in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #1899 The one (1) staff must complete the training topics emergency preparedness and response planning for emergencies resulting from a natural disaster or man-caused event, handling and storage of hazardous materials, prevention of shaken baby syndrome, abusive head trauma and child maltreatment and recognizing and reporting child abuse, neglect and maltreatment as part of the five (5) year renewal. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 11/6/23. 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: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. 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. We discussed the Rated License Reassessment. Your facility has been placed in cohort 1. You are currently in your Prep Year which ends on 6/30/24. Your reassessment year will be 7/1/24-6/30/25. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed the Prep Year Assessment option from the North Carolina Rated License Assessment Project (NCRLAP). Prep Year information was shared with you via email today. Plan to submit the Rated License Assessment Request Review form when your facility is ready for the Prep Year assessment. Please note, the Prep Year assessment option is only available to 6/30/24 for your facility. Please visit ncrlap.org for more information regarding Rated License Reassessment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times

NC GS 110-90 · Violation

Name of Operation: IRENE WORTHAM EARLY LEARNING CENTER Facility ID: 1150844 Consultant: KAITLYN MARSHALL Operation Type: Center Case Number: Visit Date: 10/23/2023 Number Present: 65 Completed Date: 10/23/2023 Age: From 0 To 5 Total Minutes: 440 Time In: 09:40 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 Kaitlyn Marshall, Child Care Consultant and also signed by Aimee Spooner, Administrator, during the visit. An electronic signed copy of the visit summary was emailed to you. Ms. Spooner was present and available to ask and answer questions throughout the visit today. The indoor and outdoor areas were monitored today, including supervision, staff/child ratios, permit restrictions, discipline, nutrition and routine caregiving activities. An annual compliance monitoring checklist for child care centers was used to note the requirements monitored and is attached to the computerized generated visit summary for your records. The center’s compliance history was reviewed with the operator. The program’s compliance history was eighty-eight percent (88%) as of 10/18/23. The North Carolina Secretary of State website was viewed prior to today’s visit and the non-profit corporation, Irene Wortham Center, Inc., is current/active as of 10/18/23. Permit type – Five (5) Star License issued 12/12/22. Special Services/Restrictions – 1st shift (daytime care), meets enhanced space, meets reduced ratios, Developmental Day certified. Requirements met for NC Pre-K and Developmental Day. The facility serves children with special needs. The last annual compliance visit was conducted on 11/9/22. The last fire drill was practiced on 10/6/23. The last shelter-in-place drill was practiced on 10/16/23. The last playground inspection was documented on 9/22/23. The last fire inspection conducted on 10/11/23. The facility is working with the fire marshal to correct items for a reinspection. The last sanitation inspection was conducted on 10/9/23 with ten (10) demerits for a superior classification. The Emergency Medical Care plan was posted and current. The center’s Emergency Preparedness and Response plan was updated on 8/7/23. The approved curriculum for four-year-old children is Creative Curriculum. The approved formative assessment tool is COR Advantage. In classroom space A, children were painting with leaves, stringing leaves on jute twine, and engaging in pretend play by caring for baby dolls. In classroom space B, children were observed tracing stencils with markers, rolling and cutting shapes out of play doh and reading books with caregivers. In classroom space C, children were observed counting pumpkins, being soothed by caregivers, building with train tracks and wooden blocks. In classroom space D, children were observed being bottle fed by caregivers, pulling up on furniture, and exploring sounds by tapping various objects on shelves. In classroom space E, children were playing outside, swinging on adaptive swings, digging in sandboxes and climbing. In classroom space F, children were observed singing songs with caregivers and playing with puppets. In classroom space G, children were engaged in a large group music and movement activity. In classroom space H, children were engaged in a large group read aloud and acted out feelings. Lunch today consisted of egg salad sandwich with whole grain bread, sweet potato tots, pears, peaches and pineapple and milk. Interactions were positive and nurturing. Children were actively supervised at all times. There are seventy-one (71) children enrolled including thirteen (13) NC Pre-K children. Eight (8) children’s files were monitored including two (2) NC Pre-K children’s files. There are thirty-five (35) staff. Three (3) existing staff files were monitored. Fifteen (15) new staff files were monitored. 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 program does not provide transportation. The developmental day requirements in section .2900 of the childcare rules were monitored for compliance. Children who receive developmental day services are currently cared for in spaces A and C. The NC Pre-K requirements in section .3000 of the childcare rules were monitored for compliance. The NC Pre-K Program Site Monitoring Tool was reviewed today and was completed on 10/5/23. The classroom operates from 8:30 a.m. to 3:00 p.m. The following violations were documented during today’s visit: Violation Number Comment Rule 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, hire date 7/17/23, did not complete First Aid training. .1102(c) 1897 The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. One (1) staff hire date 5/12/23 did not have a training certificate on file. .1102(g) 1899 Health and safety training topics were not included as part of on-going training within five years of completing the previous health and safety training topics. One (1) staff, hire date 9/11/18, did not complete the topics of Emergency preparedness and response planning for emergencies resulting from a natural disaster, or a man-caused event, Handling and storage of hazardous materials and the appropriate disposal of biocontaminants, Prevention of shaken baby syndrome, abusive head trauma, and child maltreatment, Recognizing and reporting child abuse, child neglect, and child maltreatment as part of the five (5) year renewal. Certificates of the completed topics were not maintained in the staff member's file. .1103(b) Technical assistance was provided as follows: Item #1048 The one (1) staff must receive First Aid Training from an approved source. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (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. Item #1897 The training certificate for Recognizing and Responding to Suspicions of Child Maltreatment for the one (1) staff must be placed in the staff member’s file. 10A NCAC 09 .1102 HEALTH AND SAFETY TRAINING REQUIREMENTS (g) The child care administrator and all staff members shall complete Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment. This training shall count toward requirements set forth in Rule .1103 of this Section. Recognizing and Responding to Suspicions of Child Maltreatment training is available at https://www.preventchildabusenc.org/services/trainings-and-professional-development/rrcourse. A certificate of each staff member's completion of this course shall be maintained in the staff member's file in the center. Item #1899 The one (1) staff must complete the training topics emergency preparedness and response planning for emergencies resulting from a natural disaster or man-caused event, handling and storage of hazardous materials, prevention of shaken baby syndrome, abusive head trauma and child maltreatment and recognizing and reporting child abuse, neglect and maltreatment as part of the five (5) year renewal. The training certificates must be maintained in the staff member’s file. 10A NCAC 09 .1103 ON-GOING TRAINING AND PROFESSIONAL DEVELOPMENT (b) Health and safety training shall be completed as part of on-going training so that every five years, all of the topic areas set forth in 10A NCAC 09 .1102(b) will have been covered. 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 11/6/23. 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: If you have any questions or concerns regarding the Stabilization Grant, please contact Kaitlyn Marshall, Child Care Consultant, at 828-713-8192 or email kaitlyn.marshall@dhhs.nc.gov. 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. We discussed the Rated License Reassessment. Your facility has been placed in cohort 1. You are currently in your Prep Year which ends on 6/30/24. Your reassessment year will be 7/1/24-6/30/25. We discussed the importance of ensuring all staff have their education evaluated by WORKS. We discussed the Prep Year Assessment option from the North Carolina Rated License Assessment Project (NCRLAP). Prep Year information was shared with you via email today. Plan to submit the Rated License Assessment Request Review form when your facility is ready for the Prep Year assessment. Please note, the Prep Year assessment option is only available to 6/30/24 for your facility. Please visit ncrlap.org for more information regarding Rated License Reassessment. Child Care Rule 10A NCAC 09 .2830 MAINTAINING THE STAR RATING (a)A representative of the Division may make announced or unannounced visits to facilities to assess on-going compliance with the requirements of a star rating after it has been issued. It is the center operator’s responsibility to make sure each staff person has registered for a WORKS account, submit an official transcript (if applicable) and apply for a position for evaluation. This should be completed immediately upon hiring or at the latest, by the end of the six-week orientation process. Failure to maintain the same education point level may result in a violation of the above rule reference and may result in a reduction of stars. Child Care Rule 10A NCAC 09 .2830 (c) If employment-related changes occur at a facility that result in the operator not complying with the standards in the Section for the star rating issued, the operator shall correct the noncompliance within 120 days. If the operator does not correct the noncompliance within 120 days, the operator shall notify the Division. It is your responsibility to understand the health and safety requirements in child care rule .1102. If the program is out of compliance in accordance with health and safety requirements, Child Care Development Block Grant (CCDBG), it may affect subsidy funding. Stay updated with changes and new rule updates by visiting the DCDEE website at https://ncchildcare.ncdhhs.gov/.It is your responsibility to understand the rules and laws that are applicable your program. All rules/laws cannot be verbally reviewed during any licensing visit. Please ask questions if you are having difficulty and would like additional technical assistance. I welcome your questions and want to be a resource for you. We appreciate all you are doing to serve the children and families of NC. If you have questions, please contact me at kaitlyn.marshall@dhhs.nc.gov or 828-713-8192, or Bonnie Mathis, Licensing Supervisor, at bonnie.mathis@dhhs.nc.gov. If the operator fails to correct any documented violations within the established time period, the Division of Child Development and Early Education may deny, suspend, terminate, or revoke any permit to operate (10A NCAC 09 .2000). All information in this report has been reviewed with me today.I understand that it is my responsibility to maintaincompliance with applicable NC Child Care Requirements at all times